Erschienen in:
01.05.2012 | Editorials
Correct positioning of double-lumen tubes
verfasst von:
Jean S. Bussières, MD, Peter Slinger, MD
Erschienen in:
Canadian Journal of Anesthesia/Journal canadien d'anesthésie
|
Ausgabe 5/2012
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Excerpt
Today it is your turn in the thoracic operating room, and your patient is scheduled for a right video-assisted thoracoscopic surgery (VATS). You know about the benefits of
protective lung ventilation, a strategy that involves small tidal volumes and modest plateau pressures during one-lung ventilation (OLV).
1 You have no problem inserting a left-sided double-lumen tube (DLT), and you check its position with fibreoptic bronchoscopy (FOB). After turning your patient to the left lateral decubitus position, you institute OLV with the following parameters: tidal volume: 6 mL·kg
−1; respiratory rate: 15 breaths·min
−1; initial inspired oxygen fraction: 0.80; and positive end-expiratory pressure (PEEP) 5 cmH
2O. You are happy now because you managed OLV using the best technique you know. …