Curved knife "Khukuri" injury in the back and anaesthesia induction in lateral position for thoracotomy

Authors

  • A Subedi Department of Anaesthesiology and Critical Care, B.P. Koirala Institute of Health Sciences, Dharan
  • M Tripathi Department of Anaesthesiology and Critical Care, B.P. Koirala Institute of Health Sciences, Dharan
  • L Pathak Department of Anaesthesiology and Critical Care, B.P. Koirala Institute of Health Sciences, Dharan
  • B Bhattarai Department of Anaesthesiology and Critical Care, B.P. Koirala Institute of Health Sciences, Dharan
  • R Koirala Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan

DOI:

https://doi.org/10.31729/jnma.63

Abstract

Penetrating injury in the back with knife (Khukri) demands induction of anaesthesia and intubation in lateral position. In thoracic injury a double lumen tube placement is required to facilitate one lung ventilation during thoracotomy. In emerging situation, we could successfully execute induction of patient in right lateral position using right sided DLT for left thoracotomy. Its correct placement was confirmed by fiberoptic bronchoscopy. In conclusion right-DLT intubation can be performed without difficulty by conventional direct laryngoscopy using Macintosh blade in lateral position.

Keywords: khukuri knife, lateral position, one lung ventilation, thoracic injury.

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Published

2010-12-31

How to Cite

Subedi, A., Tripathi, M., Pathak, L., Bhattarai, B., & Koirala, R. (2010). Curved knife "Khukuri" injury in the back and anaesthesia induction in lateral position for thoracotomy. Journal of Nepal Medical Association, 50(180). https://doi.org/10.31729/jnma.63

Issue

Vol. 50 No. 180 (2010)

Section

Case Reports

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