scholarly journals An audit of Robertshaw double lumen tube placement using the fibreoptic bronchoscope

2002 ◽  
Vol 89 (4) ◽  
pp. 661-662 ◽  
Author(s):  
A.H. Seymour ◽  
L. Lynch
Keyword(s):  
Fibreoptic Bronchoscope ◽  
Double Lumen Tube ◽  
Tube Placement ◽  
Double Lumen ◽  
Lumen Tube

Airway Bleeding after Double Lumen Tube Placement

2021 ◽  
Author(s):  
Jonathan E Tang ◽  
Desmond M D'Souza ◽  
Nathan J Marshall ◽  
Michael K Essandoh ◽  
Peter J Kneuertz ◽  
...  
Keyword(s):  
Double Lumen Tube ◽  
Tube Placement ◽  
Double Lumen ◽  
Lumen Tube

scholarly journals Efficacy of height-based formula to predict insertion depth of left-sided double lumen tube: A prospective observational study

2020 ◽  
Vol 48 (5) ◽  
pp. 354-357
Author(s):  
Abdelazeem A Eldawlatly ◽  
Mohamed R El Tahan ◽  
Naveed U Kanchi ◽  
Ahmad Al Qatari ◽  
Abdulaziz E Ahmad
Keyword(s):  
Body Height ◽  
Fibreoptic Bronchoscope ◽  
Double Lumen Tube ◽  
Double Lumen ◽  
Insertion Depth ◽  
Optimal Position ◽  
Lumen Tube ◽  
Optimum Position ◽  
Tube Position ◽  
Ethical Approval

The insertion depth of the left-sided double-lumen tube needs careful positioning and bronchoscopic confirmation. Several formulae based on body height have been used for estimating the optimal insertion depth of a left-sided double-lumen tube. We conducted this prospective study to test the hypothesis that our earlier developed height-based formula (0.25 × body height0.916) could predict the accurate insertion depth of a left-sided double-lumen tube. After obtaining ethical approval, 66 patients who underwent thoracic surgery were included. A left-sided double-lumen tube was advanced blindly to the predicted depth of insertion calculated using our formula. The optimal position of the left-sided double-lumen tube was confirmed using a fibreoptic bronchoscope. The primary outcome was the percentage of tubes placed in the optimal position without the need for further adjustments. The secondary outcomes included the need for bronchoscopic adjustments and the final correct insertion depth of the left-sided double-lumen tube. The formula resulted in an optimum position of the left-sided double-lumen tube without further adjustments in 45 patients (70%) (95% confidence interval 58%–80%). The left-sided double-lumen tube was withdrawn or advanced in 18.2% and 12.1%, respectively, to achieve the optimal insertion depth. We found that our formula provided satisfactory positioning in about 70% of patients and that in the remaining patients, the adjustments required to achieve satisfactory positioning under fibreoptic bronchoscope guidance were minimal. Nevertheless, as it is not possible to predict which patients will have a satisfactory tube position, bronchoscopic confirmation for the final positioning is still required.

scholarly journals Iatrogenic Left Main Bronchus Injury following Atraumatic Double Lumen Endotracheal Tube Placement

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
William R. Hartman ◽  
Michael Brown ◽  
James Hannon
Keyword(s):  
Endotracheal Tube ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Double Lumen Tube ◽  
Tube Placement ◽  
Left Main ◽  
Double Lumen ◽  
Lumen Tube ◽  
Double Lumen Endotracheal Tube ◽  
Endotracheal Tube Placement

Tracheobronchial disruption is an uncommon but severe complication of double lumen endotracheal tube placement. The physical properties of a double lumen tube (large external diameter and length) make tracheobronchial injury more common than that associated with smaller single lumen endotracheal tubes. Here we present the case of an iatrogenic left main bronchus injury caused by placement of a double lumen tube in an otherwise unremarkable airway.

scholarly journals Deliberate reattempts at blind double lumen tube placement: A grave ethical concern

2020 ◽  
Vol 14 (2) ◽  
pp. 261
Author(s):  
Akhil Kumar ◽  
Amitabh Dutta ◽  
Shikha Sharma ◽  
Jayashree Sood
Keyword(s):  
Ethical Concern ◽  
Double Lumen Tube ◽  
Tube Placement ◽  
Double Lumen ◽  
Lumen Tube

scholarly journals Difficult Double-Lumen Tube Placement Due to Laryngeal Web

2010 ◽  
Vol 38 (1) ◽  
pp. 194-196 ◽  
Author(s):  
M. H. Schmidt ◽  
R. H. Riley ◽  
G. Y. K. Hee
Keyword(s):  
Double Lumen Tube ◽  
Tube Placement ◽  
Double Lumen ◽  
Lumen Tube
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