A Right-Sided Double Lumen Tube

Lung isolation, one-lung ventilation and hypoxaemia during lung isolation

“… DLTs: By far, the most commonly used method of lung isolation used since they have been introduced, DLTs have been modified in the various base from 1931 till date. DLT's, first used in 1931 by gale and waters[ 1 ] as a cuffed rubber ETT pushed into bronchus of the desired side, have come a long way passing through stages of Carlens catheter[ 2 ] (DLT with hook at carina to ensure correct tube positioning-only left-side), Bryce-Smith tube[ 3 ] (left-side DLT without carinal hook) Robertshaw tubes[ 4 ] (present day red-rubber rigid, fixed curvature DLT), to disposable plastic Broncho-Cath ® [ 5 ] and next to the Silbroncho tubes[ 6 ] (left-side soft EBT made of silicon rubber with bronchial part wire-reinforced). These have many advantages [ Table 1 ] to offer over the other methods used for lung isolation, such as the ease of insertion and confirmation of position and the ability to isolate, selectively ventilate or collapse either lung independently according to operative requirement.…”

Does the Future Belong to Bronchial Blockers?

“…Sol yerleşimli ve karinal çentiği olan Carlens tüpten sonra, White ve Bryce-Smith tarafından çentiksiz, sol ve sağ ÇLT'ler geliştirildi [6][7][8] . Kauçuktan yapılmış olan bu orijinal ÇLT'ler dar ve oval şekilli lümene sahiptirler.…”