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Lung Isolation

  • Javier CamposEmail author
Chapter

Abstract

During the preoperative period, review of the posteroanterior chest radiograph is necessary to measure the tracheal width and also appreciate the pattern of the tracheobronchial anatomy to determine what device and size to use. The left-sided DLT is the most common device used for lung isolation because of its greater margin of safety. The use of bronchial blockers is indicated in patients who present with difficult airways and require lung isolation. Patients with a tracheostomy in place requiring lung isolation are best managed with the use of an independent bronchial blocker and flexible fiberoptic bronchoscopy. Flexible fiberoptic bronchoscopy is the recommended method to achieve optimal position of lung isolation devices, first in supine position, later in lateral decubitus, or whenever a malposition occurs.

Keywords

Lung separation Double-lumen endotracheal tubes Bronchial blockers Flexible fiberoptic bronchoscopy Multidetector computer tomography scan of chest 

Supplementary material

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of AnesthesiaUniversity of Iowa Health Care, Roy and Lucille Carver College of MedicineIowa CityUSA

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