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Updated: May 31, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Unexpected difficulty in ventilating the lungs after tracheal intubation -A case report-
Jong-Yeon Lee1, Su-Yeon Lee, Inho Shin
1Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Abstract:
We experienced difficulty in ventilating the lungs of a patient after tracheal intubation. After intubation, an insufficient amount of tidal volume (V(T)) was delivered to the patient and the fiberoptic bronchoscopic examination identified partial abutment of the endotracheal tube (ETT) orifice against the tracheal wall. After various attempts to correctly place the ETT, a double-lumen endotracheal tube was placed to achieve a sufficient V(T). It is important to notice that even an appropriately placed ETT may get obstructed due to the left sided bevel at its tip.
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