Comparison of a Modified Double-Lumen Endotracheal Tube with a Single-Lumen Tube with Enclosed Bronchial Blocker

1996 ◽  
Vol 83 (6) ◽  
pp. 1268-1272 ◽  
Author(s):  
Javier H. Campos ◽  
Daniel K. Reasoner ◽  
John R. Moyers
Keyword(s):  
Endotracheal Tube ◽  
Bronchial Blocker ◽  
Double Lumen ◽  
Lumen Tube ◽  
Double Lumen Endotracheal Tube ◽  
Single Lumen

scholarly journals Lung Separation in the Morbidly Obese Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Javier H. Campos ◽  
Kenichi Ueda
Keyword(s):  
Endotracheal Tube ◽  
Obese Patient ◽  
Bronchial Blocker ◽  
Morbidly Obese ◽  
Double Lumen ◽  
Neck Extension ◽  
Pharyngeal Wall ◽  
Double Lumen Endotracheal Tube ◽  
Single Lumen ◽  
Morbidly Obese Patient

Lung separation techniques in the morbidly obese patient undergoing thoracic or esophageal surgery may be at risk of complications during airway management. Access to the airway in the obese patient can be a challenge because they have altered airway anatomy, including a short and redundant neck, limited neck extension and accumulation of fat deposition in the pharyngeal wall contributing to difficult laryngoscopy. Securing the airway is the first priority in these patients followed by appropriate techniques for lung separation with the use of a single-lumen endotracheal tube and a bronchial blocker or another alternative is with the use of a double-lumen endotracheal tube. This review is focused on the use of lung isolation devices in the obese patient. The recommendations are based upon scientific evidence, case reports or personal experience. Fiberoptic bronchoscopy must be used to place and confirm proper placement of a single-lumen endotracheal tube, bronchial blocker or double-lumen endotracheal tube.

scholarly journals Use of a Fogarty Catheter as a Bronchial Blocker through a Single-lumen Endotracheal Tube in Patients with Subglottic Stenosis

2003 ◽  
Vol 31 (2) ◽  
pp. 214-216 ◽  
Author(s):  
H. P. Park ◽  
J. H. Bahk ◽  
J. H. Park ◽  
Y. S. Oh
Keyword(s):  
Endotracheal Tube ◽  
Lung Ventilation ◽  
Subglottic Stenosis ◽  
Double Lumen Tube ◽  
Bronchial Blocker ◽  
Fogarty Catheter ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Single Lumen

One-lung ventilation can be achieved with a double-lumen tube or a bronchial blocker. However, the larger outer diameters of double-lumen or Univent tubes may prevent their passage through an area of subglottic stenosiss. We present five cases of subglottic stenosis in which a Fogarty catheter was used as a bronchial blocker through a single-lumen endotracheal tube. The outer diameters of a double-lumen tube, Univent tube and single-lumen tube were compared. Despite special equipment designed for one-lung ventilation, the use of a bronchial blocker through a single-lumen tube, which has the thinnest available wall thickness, seems to be one of the most effective and safest ways of achieving one-lung ventilation in patients with subglottic stenosis or narrowing.

scholarly journals Comparison of a Double Lumen Endobronchial Tube with a Single Lumen Tube with Bronchial Blocker for One Lung Anesthesia

1999 ◽  
Vol 36 (3) ◽  
pp. 437
Author(s):  
Moo Il Kwon ◽  
Bong Jae Lee ◽  
Keon Sik Kim ◽  
Wha Ja Kang ◽  
Ok Young Shin ◽  
...  
Keyword(s):  
Bronchial Blocker ◽  
Double Lumen ◽  
Lumen Tube ◽  
Single Lumen ◽  
Double Lumen Endobronchial Tube

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 The Effects of Anesthesiologist Experience on Postoperative Hoarseness After Double-Lumen Endotracheal Tube Intubation: A Single-Center Propensity Score-Matched Analysis

2020 ◽  
Author(s):  
Yuji Kamimura ◽  
Toshiyuki Nakanishi ◽  
Aiji Sato(Boku) ◽  
Satoshi Osaga ◽  
Eisuke Kako ◽  
...  
Keyword(s):  
Propensity Score ◽  
Endotracheal Tube ◽  
Propensity Score Matching ◽  
Lung Resection ◽  
Macintosh Laryngoscope ◽  
University Hospital ◽  
Double Lumen ◽  
Double Lumen Endotracheal Tube ◽  
Single Lumen ◽  
One To One

Abstract Background: Postoperative hoarseness after general anesthesia is associated with patient discomfort and dissatisfaction. A recent large retrospective study showed that single-lumen endotracheal tube intubation by a trainee did not alter the incidence of postoperative pharyngeal symptoms compared with that by a senior anesthesiologist. However, little is known about the relationship between anesthesiologist experience and hoarseness after double-lumen endotracheal tube intubation. We tested the hypothesis that double-lumen endotracheal tube intubation by a trainee increases the incidence of postoperative hoarseness compared with that by a senior anesthesiologist.Methods: This retrospective observational study included patients who underwent lung resection from April 2015 to March 2018 in a university hospital. Patients underwent double-lumen endotracheal tube intubation with a Macintosh laryngoscope. We divided the patients into two groups: one group comprising patients whose tracheas were intubated by a trainee anesthesiologist and the other comprising those whose tracheas were intubated by a senior anesthesiologist. The primary outcome was the incidence of postoperative hoarseness 24 h after surgery. We collected data on postoperative hoarseness using a checklist of postanesthetic adverse events. One-to-one propensity score matching was performed. P values of <0.05 were considered statistically significant.Results: There were 256 eligible patients; 153 patients underwent intubation by trainee anesthesiologists, and the remaining 103 patients underwent intubation by senior anesthesiologists. The one-to-one propensity score matching generated 96 pairs of patients for the groups. The incidence of postoperative hoarseness 24 h after the surgery was significantly higher in patients whose tracheas were intubated by a trainee anesthesiologist than in those whose tracheas were intubated by a senior anesthesiologist (9.4% vs. 2.1%, respectively; P = 0.03).Conclusions: Double-lumen endotracheal tube intubation by trainee anesthesiologists increased the incidence of postoperative hoarseness 24 h after the surgery compared with intubation by senior anesthesiologists.

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