A modified technique to improve the outcome of intubation with a left-sided double-lumen endobronchial tube

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A modified technique to improve the outcome of intubation with a left-sided double-lumen endobronchial tube

BACKGROUND The use of a video-assisted laryngoscope (VL) has been shown to reduce the time to achieve intubation with a double-lumen endobronchial tube (DLT). As the blade of the VL is curved differently to a standard laryngoscope, the DLT must be angled into a hockey stick shape to fit properly. We conducted a study to establish which direction of angulation was best to facilitate correct posi...

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"Detachment of the carinal hook following endobronchial intubation with a double lumen tube"

BACKGROUND Carinal hooks increases difficulty at endotracheal intubation. Amputation of the carinal hook during passage and malpositioning of the tube to the hook are some of the potential problems related with left-sided Carlens double lumen tube (DLT). This article reports an amputation of the hook during a difficult selective intubation and aimed at calling the attention to complications ass...

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Incidental left main bronchus obstruction during left-sided double-lumen tube intubation of a patient with an unrecognized tracheal bronchus

INTRODUCTION Tracheal bronchus is a right-sided anomalous bronchus arising from the trachea above the main carina and occurs in 0.1% to 2% of the general population. CASE PRESENTATION We present a case of left main bronchus obstruction during a left-sided double-lumen tube intubation in a patient with an unrecognized tracheal bronchus. After the intubation, to confirm the position of the tube...

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Measuring incisor-carina distance by fiberoptic bronchoscopy to guide the placement of a left-sided double-lumen endobronchial tube

The aim of this randomized observational study was to evaluate the effect of measuring the incisor-carina distance by fiberoptic bronchoscopy in guiding the placement of a left-sided double-lumen endobronchial tube. Fifty patients (American Society of Anesthesiologists class I-II) undergoing elective thoracic procedures requiring single-lung ventilation using a left-sided double-lumen endobronc...

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Left mainstem bronchus rupture due to a left-sided double lumen tube.

Double lumen tubes (DLT) are a cornerstone in thoracic anaesthesia to achieve onelung ventilation. Due to the shape and size of these devices, airway injuries might occur. The reported incidence of tracheobronchial ruptures caused by a DLT is very low (0.005% for single-lumen tubes and 0.05% for double-lumen intubations), but the outcome can be life-threatening (1, 2). In the past, treatment of...

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ژورنال

عنوان ژورنال: BMC Anesthesiology

سال: 2014

ISSN: 1471-2253

DOI: 10.1186/1471-2253-14-72