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Lung Isolation for Whole Lung Lavage in a Pediatric Patient With Atypical Airway Anatomy due to Short Stature: A Case Report

Eklund, Susan E. MD*; Levin, David N. MD

doi: 10.1213/XAA.0000000000001044
Case Reports
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This case demonstrates the airway management of a pediatric patient with short stature due to STAT5b deficiency, a rare genetic immunodeficiency associated with lung disease and endocrinopathy. The patient had recurrent pulmonary infections and pulmonary alveolar proteinosis (PAP) for which whole lung lavage (WLL) was recommended. Due to short stature and overall body habitus, the patient’s airway would not accommodate a traditional double-lumen tube (DLT). Therefore, we placed 2 single-lumen breathing tubes: 1 endobronchial and 1 endotracheal, to mimic a DLT and facilitate WLL, demonstrating a viable option for lung isolation in the absence of purpose-built equipment.

From the *Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital and Harvard Medical School, Boston, Massachusetts

Department of Anesthesia and Pain Medicine, Hospital for Sick Children (SickKids), University of Toronto, Toronto, Ontario, Canada.

Accepted for publication April 30, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Susan E. Eklund, MD, Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children’s Hospital, 300 Longwood Ave, Bader 3, Boston, MA 02115. Address e-mail to susan.eklund@childrens.harvard.edu.

Copyright © 2019 International Anesthesia Research Society
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