Difference between revisions of "Double-lumen endotracheal tube"
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Nirav Kamdar (talk | contribs) (Edited sub-headings for appropriate topics with placement of specialized anesthesia equipment.) |
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| Line 18: | Line 18: | ||
* Tracheobronchial disruption | * Tracheobronchial disruption | ||
* Single-lung lavage for pulmonary alveolar proteinosis | * Single-lung lavage for pulmonary alveolar proteinosis | ||
== Contraindications == | == Contraindications == | ||
| Line 44: | Line 42: | ||
* Fiberoptic bronchoscope for confirming post-placement position | * Fiberoptic bronchoscope for confirming post-placement position | ||
* Consider tooth guard to prevent shearing tracheal balloon during placement | * Consider tooth guard to prevent shearing tracheal balloon during placement | ||
=== Tube Selection Selection === | |||
* Most single-lung ventilation procedures can be accomplished with a left-sided DLT | |||
* Right DLT indications | |||
** Left pneumonectomy | |||
** Left lung transplant | |||
** Left tracheobronchial repair | |||
** Consider for left thoracoscopic lung procedures (can be accomplished with L-DLT as well) | |||
==== Tube Size Selection ==== | |||
== Technical Specifications == | == Technical Specifications == | ||
Revision as of 09:09, 16 October 2021
Double-lumen endotracheal tube
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| Airway | |
| Lines and access | |
| Monitors | |
| Primary anesthetic considerations | |
| Preoperative | |
| Intraoperative | |
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| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary of this surgical procedure and its indications here.
Indications
- Hemorrhage an infected abscess into a single lung requiring isolation
- Controlled distributed ventilation for surgery
- Bronchopleural fistula, large lung bulla and or cysts
- Tracheobronchial disruption
- Single-lung lavage for pulmonary alveolar proteinosis
Contraindications
- Known difficult airway
- Tracheal stenosis
- Severe airway distortion
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Setup
Operating room setup
- DLT with appropriately chosen size
- Laryngoscope (video or direct laryngoscope)
- Syringes 3mL (bronchial cuff) and 10mL (tracheal cuff)
- Fiberoptic bronchoscope for confirming post-placement position
- Consider tooth guard to prevent shearing tracheal balloon during placement
Tube Selection Selection
- Most single-lung ventilation procedures can be accomplished with a left-sided DLT
- Right DLT indications
- Left pneumonectomy
- Left lung transplant
- Left tracheobronchial repair
- Consider for left thoracoscopic lung procedures (can be accomplished with L-DLT as well)
Tube Size Selection
Technical Specifications
References
Top contributors: Nirav Kamdar, Chetra Yean and Gang Chen