A Comparison of the Reliability of Two Techniques of Left Double-Lumen Tube Bronchial Cuff Inflation in Producing Water-Tight Seal of the Left Mainstem Bronchus

1998 ◽  
Vol 87 (5) ◽  
pp. 1027-1031
Author(s):  
Medhat S. Hannallah ◽  
Farid Gharagozloo ◽  
Mario N. Gomes ◽  
Gary A. Chase
Keyword(s):  
Double Lumen Tube ◽  
Mainstem Bronchus ◽  
Cuff Inflation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Left Mainstem Bronchus ◽  
Left Mainstem ◽  
Bronchial Cuff

Rapid Deflation of the Bronchial Cuff of the Double-Lumen Tube After Decreasing the Concentration of Inspired Nitrous Oxide

2002 ◽  
Vol 95 (1) ◽  
pp. 238-242 ◽  
Author(s):  
Fujio Karasawa ◽  
Akira Takita ◽  
Isao Takamatsu ◽  
Tomohisa Mori ◽  
Takashi Oshima ◽  
...  
Keyword(s):  
Nitrous Oxide ◽  
Double Lumen Tube ◽  
Double Lumen ◽  
Lumen Tube ◽  
Bronchial Cuff

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.

Cuff inflation technique: A saviour in the double lumen tube placement

2021 ◽  
Vol 74 ◽  
pp. 110364
Author(s):  
Rashmi Syal ◽  
Rakesh Kumar ◽  
Swati Chhabra ◽  
Manoj Kamal
Keyword(s):  
Double Lumen Tube ◽  
Tube Placement ◽  
Cuff Inflation ◽  
Double Lumen ◽  
Lumen Tube

Response to ‘Cuff inflation technique: A saviour in the double lumen tube placement’

2022 ◽  
Vol 77 ◽  
pp. 110643
Author(s):  
David Lopez-Lopez ◽  
Rocio Mato-Bua ◽  
Alejandro Garcia-Perez ◽  
Anxo Vilar-Castro ◽  
Sara Del-Rio-Regueira
Keyword(s):  
Double Lumen Tube ◽  
Tube Placement ◽  
Cuff Inflation ◽  
Double Lumen ◽  
Lumen Tube

scholarly journals Surgical Management of Primary Pulmonary Mucoepidermoid Carcinoma of the Proximal Left Mainstem Bronchus

2019 ◽  
pp. 1-4
Author(s):  
Patrick G. Chan ◽  
Chigozirim Ekeke ◽  
Diane Strollo ◽  
Ernest G. Chan ◽  
Humberto E Trejo Bittar ◽  
...  
Keyword(s):  
Mucoepidermoid Carcinoma ◽  
Residual Disease ◽  
Azygos Vein ◽  
Supplemental Oxygen ◽  
Double Lumen Tube ◽  
Low Grade ◽  
Mainstem Bronchus ◽  
Left Mainstem Bronchus ◽  
Left Mainstem ◽  
Absorbable Sutures

A 29-year-old non-smoking female with a history of recurrent AML presented with worsening dyspnea. A CT scan revealed an 8 X 7 mm polypoid soft tissue nodule 8 mm distal to the carina in the left mainstem bronchus. She was brought to the operating room and a nearly obstructing soft fleshy tumor in the left mainstem bronchus just distal to the carina was removed with bronchoscopy. Pathology revealed a low grade mucoepidermoid carcinoma 0.8 cm in largest dimension with negative margins. The patient returned for a resection and was intubated with a right mainstem double lumen tube and placed in left lateral decubitus. After posterolateral thoracotomy, the azygos vein was divided to mobilize the esophagus and retract it laterally. Level 4 and 7 lymph node dissection were performed to obtain access to the anterior tracheal and subcarinal spaces. There was minimal dissection lateral to the trachea to minimize risk of ischemia. One centimeter of trachea just proximal to the carina was circumferentially isolated with umbilical tape for retraction. We bronchoscopically confirmed the location for transection and advanced a jet ventilator catheter distally. We resected one centimeter of left mainstem bronchus. We inspected the lumen of the airway to confirm no gross residual disease and confirmed negative pathologic margin before performing an end-to-end anastomosis with interrupted absorbable sutures under both jet and cross-table ventilation. Postoperatively, the patient had an uncomplicated course and was discharged without any supplemental oxygen on postoperative day 6. Final pathology was low grade mucoepidermoid carcinoma, T1aN0.

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