Difference between revisions of "Double-lumen endotracheal tube"

From WikiAnesthesia
(Edited sub-headings for appropriate topics with placement of specialized anesthesia equipment.)
m
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* Tracheobronchial disruption  
* Tracheobronchial disruption  
* Single-lung lavage for pulmonary alveolar proteinosis  
* 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. --> ===


== Contraindications ==
== Contraindications ==
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* 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 10:09, 16 October 2021

Double-lumen endotracheal tube
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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

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