Predicting the Size of a Double-Lumen Endobronchial Tube Using Computed Tomographic Scan Measurements of the Left Main Bronchus Diameter

1999 ◽  
Vol 88 (2) ◽  
pp. 302-305 ◽  
Author(s):  
Mark Y. H. Chow ◽  
B. L. Liam ◽  
C. H. Thng ◽  
B. K. Chong
Keyword(s):  
Main Bronchus ◽  
Left Main Bronchus ◽  
Left Main ◽  
Double Lumen ◽  
Computed Tomographic ◽  
Computed Tomographic Scan ◽  
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 Dimensions of Double-Lumen Tracheobronchial Tubes

2003 ◽  
Vol 31 (1) ◽  
pp. 50-53 ◽  
Author(s):  
W. J. Russell ◽  
T. S. Strong
Keyword(s):  
Main Bronchus ◽  
Package Insert ◽  
Left Main Bronchus ◽  
Double Lumen Tube ◽  
Not Given ◽  
Left Main ◽  
Double Lumen ◽  
Lumen Tube ◽  
Nominal Size ◽  
Bronchial Cuff

The diameter of the left main bronchus is the determining dimension when selecting the size of a left tracheobronchial (double-lumen) tube for lung separation. However, this information is not given by any manufacturer, either on the tube or in the package insert. This paper describes the lengths and diameters of the deflated bronchial cuff segment of left tracheobronchial tubes in common use. One hundred and seventy-one left tracheobronchial tubes ranging in size from 28 to 41 nominal French gauge from four manufacturers were measured. There was wide variation between tubes of the same nominal size from the same manufacturer. For tubes of the same size from the same manufacturer, the diameter of the segment with the deflated bronchial cuff varied by more than 1 mm in diameter in some instances.The diameter of the bronchial cuff segment did not consistently decrease as the nominal size decreased even for the same manufacturer. There was major overlap in diameters of the bronchial segments between Fr 41, Fr 39, and Fr 37 tubes from most manufacturers, so that some of the Fr 39 tubes have a bronchial cuff segment diameter as much as 0.5 mm larger than the Fr 41 tube. It is concluded that the current French gauge markings on left tracheobronchial tubes are of very limited value in determining the appropriate size to be selected for a patient. More accurate and consistent dimensions of tracheobronchial tubes are required to improve clinical selection.

scholarly journals Incidental left main bronchus obstruction during left-sided double-lumen tube intubation of a patient with an unrecognized tracheal bronchus

Medicine ◽  
2016 ◽  
Vol 95 (52) ◽  
pp. e5674 ◽  
Author(s):  
Ho Bum Cho ◽  
Hyoung June Kim ◽  
Hyung Youn Gong ◽  
Mun Gyu Kim ◽  
Sang Ho Kim
Keyword(s):  
Main Bronchus ◽  
Left Main Bronchus ◽  
Double Lumen Tube ◽  
Tracheal Bronchus ◽  
Left Main ◽  
Double Lumen ◽  
Lumen Tube

scholarly journals MITRAL INSUFFICIENCY WITH COMPRESSION OF THE LEFT MAIN BRONCHUS TREATED BY OPEN-HEART SURGERY

1959 ◽  
Vol 37 (3) ◽  
pp. 320-324
Author(s):  
David R. Murphy ◽  
Anthony R.C. Dobell ◽  
Gordon M. Karn ◽  
James E. Gibbons
Keyword(s):  
Heart Surgery ◽  
Main Bronchus ◽  
Open Heart Surgery ◽  
Left Main Bronchus ◽  
Mitral Insufficiency ◽  
Open Heart ◽  
Left Main
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