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An algorithm for difficult double lumen tube placement and troubleshooting a malpositioned double lumen tube harnessing A, B, Cs of lung isolation

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Double lumen tubes (DLTs) remain the gold-standard lung isolation devices to prevent soilage (abscess, blood) of the normal lung or control ventilation in certain thoracic surgeries (bronchopleural fistula, lung-resection, oesophagectomy,… Click to show full abstract

Double lumen tubes (DLTs) remain the gold-standard lung isolation devices to prevent soilage (abscess, blood) of the normal lung or control ventilation in certain thoracic surgeries (bronchopleural fistula, lung-resection, oesophagectomy, etc.).[1] Optimal DLT placement is an art and science garnered by practice and learning from the experience of others. DLTs have evolved from bulky red-rubber devices with carinal hooks (left-sided Carlen’s catheter; right-sided White’s catheter) to roomier lumens (Bryce-Smith, Robertshaw) and modern disposable tubes (Bronchocath; Sheridan; Portex).

Keywords: lung isolation; lumen tube; double lumen; algorithm difficult

Journal Title: Indian Journal of Anaesthesia
Year Published: 2022

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