LUNG ISOLATION TECHNIQUES - 03/09/11
Riassunto |
The first description of the use of a double-lumen endotracheal tube system for lung surgery was reported in 1962.26 Since then, several techniques have been developed to improve lung isolation while maintaining one-lung ventilation. This article discusses most common tubes used for lung isolation: left- and right-sided double-lumen endotracheal tubes21; single-lumen endotracheal tube with enclosed bronchial blocker Univent (Fuji Systems Corporation, Tokyo, Japan)23; wire-guided endobronchial blocker WEB (Cook Critical Care, Bloomington, IN)3; and independent bronchial blockers, such as the Fogarty (Baxter Healthcare Corporation, Irvine, CA) embolectomy catheter.16 Table 1 outlines five specific areas in which lung isolation is required based on studies or unique case reports.
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| Address reprint requests to Javier H. Campos, MD, Department of Anesthesia, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1079, e-mail: javier-campos@uiowa.edu |
Vol 19 - N° 3
P. 455-474 - settembre 2001 Ritorno al numeroBenvenuto su EM|consulte, il riferimento dei professionisti della salute.
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