Double-lumen endotracheal tube

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Revision as of 09:55, 16 October 2021 by Nirav Kamdar (talk | contribs) (Edited sub-headings for appropriate topics with placement of specialized anesthesia equipment.)
Double-lumen endotracheal tube
Anesthesia type
Airway
Lines and access
Monitors
Primary anesthetic considerations
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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