Difference between revisions of "Double-lumen endotracheal tube"

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(Created page with "{{Infobox surgical case reference | anesthesia_type = | airway = | lines_access = | monitors = | considerations_preoperative = | considerations_intraoperative = | consid...")
 
(Edited sub-headings for appropriate topics with placement of specialized anesthesia equipment.)
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Provide a brief summary of this surgical procedure and its indications here.
Provide a brief summary of this surgical procedure and its indications here.


== Preoperative management ==
== Indications ==


=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
* 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


=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===
=== Patient preparation and premedication<!-- Describe any unique considerations for patient preparation and premedication. If none, this section may be removed. --> ===


== Intraoperative management ==
== Contraindications ==
 
* Known difficult airway
* Tracheal stenosis
* Severe airway distortion


=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
=== Monitoring and access<!-- List and/or describe monitors and access typically needed for this case. Please describe rationale for any special monitors or access. --> ===
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=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
=== Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. --> ===
== Setup ==
=== Operating room setup<!-- Describe any unique aspects of operating room preparation. Avoid excessively granular information. Use drug classes instead of specific drugs when appropriate. If none, this section may be removed. --> ===
* 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
== Technical Specifications ==


== References ==
== References ==


[[Category:Surgical procedures]]
[[Category:Surgical procedures]]

Revision as of 09:55, 16 October 2021

Double-lumen endotracheal tube
Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
Preoperative
Intraoperative
Postoperative
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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

Patient preparation and premedication

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

Technical Specifications

References