Left mainstem bronchial rupture during one-lung ventilation with Robertshaw double lumen endobronchial tube: A case report / 대한마취과학회지

Lung separation using a double-lumen endobronchial tube is necessary for video assisted thoracoscopy (VATs). Bronchial rupture after intubation with a double-lumen endobronchial tube has been rarely reported. We report a case of a 70-year-old man who had solitary pulmonary nodule in his right upper lobe. He was intubated with a left-sided Robertshaw double-lumen endobronchial tube. He underwent a VATs right upper lobectomy with the one-lung ventilation of left lung. During the operation, the rupture of the left mainstem bronchus was detected. Immediately, the thoracotomy was performed and the ruptured left mainstem bronchus was repaired with absorbable sutures (vicryl). Seven days later he had a bronchoscopy to examine the left mainstem bronchus. There was no evidence of the bleeding, leakage and inflammation. Subsequent course was uneventful. Tracheobronchial injuries related to the double-lumen endobronchial tube are discussed.

Acute low back pain revealed as pyogenic spondylitis: A report of 2 cases

Many people suffer from low back pain and that has caused much socioeconomic cost. As a non specific cause of low back pain, an increase in the incidence of pyogenic spondylitis has been noticed. Early radiological diagnosis is of great importance for prompt treatment and prevention of clinically significant consequences which include neurological deficit and secondary spine deformity. We describe two cases of pyogenic spondylitis with epidural abscess. The former case, we could not make an early diagnosis and proper management was delayed. Fortunately, no neurologic deficits were remained. On contrast, the latter was promptly diagnosed as a pyogenic spondylitis and proper treatment was established. Most of all, careful preliminary evaluation, especially laboratory data and analysis of radiologic findings are important prognostic factor in treatment patient for pyogenic spondylitis.

Spinal anaesthesia in a patient with Kennedy's disease: A case report / 대한마취과학회지

Kennedy's disease is an adult onset form of motor neuron disease characterized by progressive proximal and bulbar muscle weakness. The authors report the anaesthetic management of a 43-year-old man with Kennedy's disease who underwent elective orthopaedic surgery under spinal anaesthesia. The anaesthetic implications of this X-linked lower motor neuron disorder are discussed, and guidelines for safe anaesthetic management are suggested.