Guidance for placing double-lumen endotracheal tube

Double lumen endotracheal tube for percutaneous tracheostomy?

BACKGROUND Percutaneous dilational tracheostomy is normally a bronchoscope-guided procedure. The insertion of a bronchoscope into an endotracheal tube (ETT) affects resistance, flow, and alveolar pressure. To improve airway management and ventilation during percutaneous tracheostomy, we developed a double lumen endotracheal tube (DLET). The aim of this in vitro study was to compare the linear c...

Double Lumen Endotracheal Tube for Percutaneous Tracheostomy

BACKGROUND: Percutaneous dilational tracheostomy is normally a bronchoscope-guided procedure. The insertion of a bronchoscope into an endotracheal tube (ETT) affects resistance, flow, and alveolar pressure. To improve airway management and ventilation during percutaneous tracheostomy, we developed a double lumen endotracheal tube (DLET). The aim of this in vitro study was to compare the linear ...

Tension pneumothorax complicated by double-lumen endotracheal tube intubation.

Tension pneumothorax is not a rare complication of mechanical ventilation, but its occurrence immediately after intubation with a double-lumen endotracheal tube (DLT) is very rare. Subsequent impairment of the respiratory and cardiovascular function can be life threatening if it is not detected early enough and managed properly. Most reported cases of tension pneumothorax during DLT intubation ...

Double-Lumen Endotracheal Tubes

Endotracheal tube lumen compromise from cuff overinflation.

A chest roentgenogram demonstrates lumen collapse as the cause of ventilatory obstruction in an intubated patient. This problem is not restricted to defective tubes but may be caused by overinflation of the cuff in normal tubes. D espite the impressive record of endotracheal tubes as guardians of an unobstructed airway, human and mechanical failure causing these devices to become dangerous site...