PMID: 18179000Jan 9, 2008Paper

Double-lumen endotracheal tube for one-lung ventilation through a fresh tracheostomy stoma: a case report

AANA Journal
Lana Leinbach Yaney

Abstract

For one-lung ventilation in many surgical cases, double-lumen endotracheal tubes are the first-line choice for airway management. For most cases, double-lumen endotracheal tubes are faster, easier to place, cheaper, and less prone to malposition than today's bronchial blocker devices. This report describes an elective tracheostomy and the use of a double-lumen endotracheal tube directly through the fresh stoma site for a 55-year-old man with a known difficult airway who had undergone a left-sided radical neck dissection and postoperative radiation 10 years earlier. The 11-hour operation, in supine and lateral positions, occurred uneventfully. This report documents one-lung ventilation of a 4-hour duration using a double-lumen endotracheal tube directly through a fresh tracheostomy site without supplemental continuous positive airway pressure to maintain an oxyhemoglobin saturation of more than 97% as measured by pulse oximetry. During the past decade, unique modifications of the use of bronchial blockers and their use with tracheostomies have been reported. Complications have been reported with double-lumen endotracheal tubes and with more recent classic and modified uses of the bronchial blockers. This article discusses approp...Continue Reading

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