scholarly journals A Randomized Controlled Trial Comparing Novel Triple-Cuffed Double-Lumen Endobronchial Tubes with Conventional Double-Lumen Endobronchial Tubes for Lung Isolation

2020 ◽  
Vol 9 (4) ◽  
pp. 977
Author(s):  
Namo Kim ◽  
Hyo-Jin Byon ◽  
Go Eun Kim ◽  
Chungon Park ◽  
Young Eun Joe ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Fiberoptic Bronchoscopy ◽  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lung Isolation ◽  
Significant Difference ◽  
Initial Placement ◽  
The Difference ◽  
Double Lumen Endobronchial Tube

Placing a double-lumen endobronchial tube (DLT) in an appropriate position to facilitate lung isolation is essential for thoracic procedures. The novel ANKOR DLT is a DLT developed with three cuffs with a newly added carinal cuff designed to prevent further advancement by being blocked by the carina when the cuff is inflated. In this prospective study, the direction and depth of initial placement of ANKOR DLT were compared with those of conventional DLT. Patients undergoing thoracic surgery (n = 190) with one-lung ventilation (OLV) were randomly allocated into either left-sided conventional DLT group (n = 95) or left-sided ANKOR DLT group (n = 95). The direction and depth of DLT position were compared via fiberoptic bronchoscopy (FOB) after endobronchial intubation between the groups. There was no significant difference in the number of right mainstem endobronchial intubations between the two groups (p = 0.468). The difference between the initial depth of DLT placement and the target depth confirmed by FOB was significantly lower in the ANKOR DLT group than in the conventional DLT group (1.8 ± 1.8 vs. 12.9 ± 9.7 mm; p < 0.001). In conclusion, the ANKOR DLT facilitated its initial positioning at the optimal depth compared to the conventional DLT.

Auto-Positive End-Expiratory Pressure During One-Lung Ventilation Using a Double-Lumen Endobronchial Tube

1996 ◽  
Vol 82 (5) ◽  
pp. 1007-1010
Author(s):  
Kimio Yokota ◽  
Takashi Toriumi ◽  
Atsuo Sari ◽  
Sumiko Endou ◽  
Masahiko Mihira
Keyword(s):  
Lung Ventilation ◽  
Positive End Expiratory Pressure ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Double Lumen Endobronchial Tube

Comparison of Double- Lumen Endobronchial Tube and En- dobronchial Blocker Applications in One- Lung Ventilation

2015 ◽  
Vol 21 (1) ◽  
pp. 23-29
Author(s):  
Sami Eksert ◽  
Gokhan Ozkan ◽  
Mehmet Emin İnce ◽  
Vedat Yildirim ◽  
Tarik Purtuloglu ◽  
...  
Keyword(s):  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Double Lumen Endobronchial Tube

Auto-Positive End-Expiratory Pressure During One-Lung Ventilation Using a Double-Lumen Endobronchial Tube

1996 ◽  
Vol 82 (5) ◽  
pp. 1007-1010 ◽  
Author(s):  
Kimio Yokota ◽  
Takashi Toriumi ◽  
Atsuo Sari ◽  
Sumiko Endou ◽  
Masahiko Mihira
Keyword(s):  
Lung Ventilation ◽  
Positive End Expiratory Pressure ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Double Lumen Endobronchial Tube

Evaluation of Blind Thoracoscopic-Assisted Placement of Three Double-Lumen Endobronchial Tube Designs for One-Lung Ventilation in Dogs

2012 ◽  
Vol 41 (6) ◽  
pp. 664-670 ◽  
Author(s):  
Philipp D. Mayhew ◽  
William T. N. Culp ◽  
Peter J. Pascoe ◽  
Philip H. Kass ◽  
Lynelle R. Johnson
Keyword(s):  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Double Lumen Endobronchial Tube

scholarly journals Clinical Pearls in Anaesthesia for Pleurectomy/Decortication for Malignant Mesothelioma

2017 ◽  
Vol 11 (1) ◽  
pp. 29-34
Author(s):  
Shagun Bhatia Shah ◽  
Itee Chowdhury ◽  
Laleng Mawia Darlong ◽  
Priyanka Goyal ◽  
Anamica Kansal
Keyword(s):  
Malignant Mesothelioma ◽  
Lung Resection ◽  
Lung Ventilation ◽  
Double Lumen Tube ◽  
Visceral Pleura ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Lung Isolation ◽  
Lung Motion

Background: For most thoracic surgeries (lung resection, esophagectomy) the main purpose of inserting a double lumen tube for lung isolation is providing space for dissection and preventing lung motion by not ventilating (collapsing) the lung undergoing surgery. Objective: In addition, during pleurectomy/ decortication surgeries, the anaesthetist can indirectly perform the dissection of pleura from the lung without scrubbing, gloving or holding the scalpel. Conclusion: This is accomplished by ventilating the lung undergoing surgery, with large tidal volumes while the surgeon provides static traction to the visceral pleura. These phases alternate with one lung ventilation. A detailed account of anaesthesia for pleurectomy/ decortication follows.

scholarly journals ANAESTHETIC MANAGEMENT OF BRONCHOGENIC CYST IN AN INFANT:- A CHALLENGE- A CASE REPORT

2019 ◽  
pp. 1-2
Author(s):  
Garima Anant ◽  
Aman Kaur Saini
Keyword(s):  
Bronchogenic Cyst ◽  
Lung Ventilation ◽  
Female Child ◽  
Anaesthetic Management ◽  
Double Lumen Tube ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Lung Isolation ◽  
Single Lumen

A double-lumen tube is an endotracheal tube designed to isolate the lungs anatomically and physiologically. Double-lumen tubes are the most commonly used tubes to provide independent ventilation for each lung. One-lung ventilation or lung isolation is the mechanical and functional separation of the 2 lungs to allow selective ventilation of only one lung. The other lung that is not being ventilated passively deates or is displaced by the surgeon to facilitate surgical exposure for non-cardiac operations in the chest such as thoracic, esophageal, aortic and spine procedures. But due to the larger size and more complex design than the single lumen tube (SLT), intubation with a DLT can be a challenge, especially in paediatric patients. We present a case of 2.5 month female child, weighing 3 kgs , diagnosed antenatally by ultrasound with bronchogenic cyst .Left thoracotomy with excision of cyst was the planned surgery for the patient

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