Abstract
We report the successful use of a video-optical intubation stylet for left-sided double-lumen tube placement in a 13 year old girl. An ultrathin video-optical intubation stylet has been inserted into the bronchial lumen of a left-sided 28 Ch double-lumen tube before starting anesthesia. The trachea was intubated under direct vision using conventional laryngoscopy and the video-view from the stylet tip was used to direct and to place the bronchial tube correctly in the left mainstem bronchus. Then the videooptical intubation stylet was inserted into the tracheal lumen to confirm and adjust the proximal margin of the bronchial cuff. During one-lung ventilation, the video-optical intubation stylet was reinserted into the tracheal lumen to monitor continuously the position of the endobronchial cuff. The technique allowed visualized left-sided DLT insertion control in a simple and safe manner with correct DLT placement at the first attempt. Continuous visual subglottic airway monitoring was a valuable aid for maintaining correct double-lumen tube position during one-lung ventilation and may allows early detection and correction of tube dislocation. In addition, it provided an useful teaching and supervising tool. Please check the Web Site of Video-Assisted Airway Management at http://www.vaama.net
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