Archive for the 'Lung Isolation' Category

Isolation of the Right Upper-Lobe with a Left-Sided Double-Lumen Tube After Left-Pneumonectomy

Scholten, Kevin J. MD; Kulkarni, Vivek MD; Brodsky, Jay B. MD
A patient with a prior left pneumonectomy required surgical drainage of a right upper lobe aspergilloma. A left double-lumen endobronchial tube was placed in the right bronchus intermedius, isolating the right upper lobe while allowing ventilation of the right middle and lower lobes.
Anesthesia & Analgesia. 105(2):330-331, August 2007.

Lung Isolation p.slinger 9:26 PM Comments Off on Isolation of the Right Upper-Lobe with a Left-Sided Double-Lumen Tube After Left-Pneumonectomy

Double- vs. Single-Lumen tube diameters

klafta-photo.pdf Photo courtesy of Dr. Jerome Klafta, University of Chicago

Lung Isolation p.slinger 6:50 PM Comments Off on Double- vs. Single-Lumen tube diameters

Lung Separation Techniques

Peter Slinger MD, FRCPC
Assoc. Professor, Dept. Anesthesia, University of Toronto

The second half of this century has seen refinements of the double-lumen tube (DLT) from that of Carlens1 to a tube specifically designed for intraoperative use (Robertshaw)2 with larger, D-shaped, lumens and without a carinal hook. Continue Reading »

Lung Isolation p.slinger 2:44 PM Comments Off on Lung Separation Techniques

Bronchial Blocker

There has been a revival of interest in the use of bronchial blockers for lung isolation particularly due to the problems which are encountered because of the limitations of double-lumen tubes in patients with abnormal upper or lower airway anatomy. The following is one of a series of articles and related links to the recently released Arndt Wire-guided Endobronchial Blockade(WEB)Catheter which can be very useful in many of these patients. Continue Reading »

Lung Isolation p.slinger 2:39 PM 10,256 Comments

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