Placement of double-lumen tubes with a stylet

Double-Lumen Endotracheal Tubes

A simple blind placement of the left-sided double-lumen tubes: Erratum

One-lung ventilation (OLV) has been commonly provided by using a double-lumen tube (DLT). Previous reports have indicated the high incidence of inappropriate DLT positioning in conventional maneuvers.After obtaining approval from the medical ethics committee of First Affiliated Hospital of Anhui Medical University and written consent from patients, 88 adult patients belonging to American societ...

Airway rupture from double-lumen tubes.

A DOUBLE-CUFFED double-lumen endobronchial tube (DLT) was used for the first time during thoracic surgery almost 50 years ago to isolate and selectively ventilate the lungs. The benefits of DLTs in terms of improved surgical exposure mad their ability to isolate and protect the lungs during thoracic operations are now widely recognized. Although DLTs are safe and easy to use, complications occu...

Placement of double-lumen endobronchial tubes. Correlation between clinical impressions and bronchoscopic findings.

Double-lumen endobronchial tubes were placed "blindly" in 23 patients undergoing thoracotomy. Clinical criteria suggested satisfactory positioning in all cases; however, subsequent fibreoptic bronchoscopy revealed malposition in 48%. Bronchoscopic findings included the inability to view the bronchial cuff, narrowing of the bronchial lumen of the tube at the level of the cuff and herniation of t...

Tracheal diameter predicts double-lumen tube size: a method for selecting left double-lumen tubes.

T here are no objective criteria for selecting the size of a double-lumen endobronchial tube (DLT) (1). An inappropriately sized DLT can cause airway trauma and interfere with oxygenation and lung separation during one-lung ventilation. The goal of this study was to determine if measurement of tracheal diameter from the preoperative chest radiograph can be used to predict which size DLT to choo...