case_images: PMC11143868_01
case_images: Chest computed tomography with intravenous contrast. There is a diffuse increase in soft tissue attenuation mixed with air scattered throughout the mediastinum, representing a large mediastinal abscess measuring 5.6 cm x 5.1 cm.
case_images: 10.1177_2050313X241255502-fig1.jpg
case_images: PMC11143868_01_10.1177_2050313X241255502-fig1.jpg
case_images: fig1-2050313X241255502
case_images: A 25-year-old COVID-19-positive male (height 178 cm, weight 91 kg) with leukocytosis and fever (39.6 C) was found to have a mediastinal abscess (Figure 1) and scheduled for emergency thoracotomy for mediastinal washout.
case_images: Simulation of double-lumen tube intubation (left-sided 39 Fr, Broncho-Cath , Covidien, USA) using a manikin with the aerosol box. (a) The tube does not fit within the aerosol box (50 cm wide, 40 cm deep, and 52 cm tall). (b) The tube has to be acutely bent during intubation to accommodate within the aerosol box, making the intubation a real challenge.
case_images: 10.1177_2050313X241255502-fig2.jpg
case_images: PMC11143868_01_10.1177_2050313X241255502-fig2.jpg
case_images: fig2-2050313X241255502
case_images: This resulted in the proximal end of the DLT constantly contacting the box ceiling during tube manipulation (Figure 2(a)). DLT was bent sharply so that the tip of the DLT was able to pass through the patient's oral cavity (Figure 2(b)). Despite this, further advancement of the tube toward and through the vocal cords was not feasible because the hyper-angulated tube could not be aligned with the pathway to the vocal cords.