Current techniques for perioperative lung isolation in adults. Fiberoptic bronchoscopic positioning of double-lumen tubes. Role of fiberoptic bronchoscopy in conjunction with the use of double-lumen tubes for thoracic anesthesia: a prospective study. Anatomy of the trachea, carina, and bronchi. Major anatomical variations of the tracheobronchial tree: bronchoscopic observation. Gonlugur U, Efeoglu T, Kaptanoglu M, et al. The implications of a tracheal bronchus on one-lung ventilation and fiberoptic bronchoscopy in a patient undergoing thoracic surgery: a case report. Implications of a tracheal bronchus for adult anaesthetic practice. Bronchial trifurcation at the carina complicating use of a double-lumen tracheal tube.
#Double lumen tube update
Update on tracheobronchial anatomy and flexible Fiberoptic bronchoscopy in thoracic anesthesia. Flexible fiberoptic bronchoscopy and bronchial blockersĬampos JH.This technique allows visualization of the vocal cords and subglottic structures with lower resistance than a single-lumen endotracheal tube when the bronchoscope is inserted. Another alternative to perform fiberoptic bronchoscopy is with the use of a laryngeal mask airway (LMA). When using a large single-lumen endotracheal tube, an adult fiberoptic bronchoscope should be used (i.e.
Norcross, Georgia USA) swivel adapter with a self-sealing valve is used to facilitate ventilation and manipulation of the bronchoscope at the same time.
A Portex fiberoptic bronchoscope (SSL American, Inc. Once the tube is advanced beyond the vocal cords and inside the trachea, the tip of the endotracheal tube should come to rest 3-4 cm above the tracheal carina. The most common method to perform flexible fiberoptic bronchoscopy is with the use of a single-lumen endotracheal tube. Flexible fiberoptic bronchoscopy is a diagnostic and therapeutic procedure of great value in the clinical practice of thoracic anesthesia.
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