| A logical approach to the selection and insertion of double-lumen tubes. | |
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MedLine Citation:
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PMID: 18195607 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: There has been a progressive evolution in double-lumen tubes to separate the right and left lungs. The appreciation of the anatomical advantage of the longer left main bronchus has directed anesthetists to prefer a left tube if possible for lung separation. Understanding the dimensions of the tube as well as the variations in the left main bronchus has improved the process of selection and insertion of the double-lumen tubes for lung isolation. RECENT FINDINGS: Early work focused on the anatomy of the longer left main bronchus. More recent work looked at the tube. This showed that tubes of the same nominal French size were substantially different in the size of the bronchial tube diameter and length. The proposed International Standards Organization standard will more accurately identify tube dimensions. These factors must be considered when selecting a tube for lung separation. SUMMARY: Measurement of patient's airway dimensions combined with knowledge of the dimensions of the double-lumen (tracheobronchial) tube plays an important role in lung separation. |
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Authors:
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W John Russell |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in anaesthesiology Volume: 21 ISSN: 0952-7907 ISO Abbreviation: Curr Opin Anaesthesiol Publication Date: 2008 Feb |
Date Detail:
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Created Date: 2008-01-15 Completed Date: 2008-03-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8813436 Medline TA: Curr Opin Anaesthesiol Country: United States |
Other Details:
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Languages: eng Pagination: 37-40 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia, Royal Adelaide Hospital and University of Adelaide, North Terrace, Adelaide, South Australia, Australia. john.Russell@adelaide.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bronchi Humans Intubation, Intratracheal / instrumentation*, methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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