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.

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

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 »

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 »