The Airway Scope for difficult double-lumen tube intubation

Poon, K.H.; Liu, Eugene H. C.

doi:10.1016/j.jclinane.2008.02.003

Cited by 22 publications

(10 citation statements)

References 4 publications

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“…We recruited 33 publications demonstrating the use of different VL for placement of DLT. [ 5 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 ]…”

Section: Resultsmentioning

confidence: 99%

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

El-Tahan

2016

Saudi J Anaesth

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The advances in thoracic procedures require optimum lung separation to provide adequate room for surgical access. This can be achieved using either a double-lumen tube (DLT) or a bronchial blocker (BB). Most thoracic anesthesiologists prefer the use of DLT. However, lung separation in patients with potential difficult airway can be achieved using either BB through a single lumen tube or placement of a DLT over a tube exchanger or a fiberoptic bronchoscope. Numerous videolaryngoscopes (VL) have been introduced offering both optical and video options to visualize the glottis. Many studies reported improved glottis visualization and easier DLT intubation in patients with normal and potential difficult airway. However, these studies have a wide diversity of outcomes, which may be attributed to the differences in their designs and the prior experience of the operators in using the different devices. In the present review, we present the main outcomes of the available publications, which have addressed the use of VL-guided DLT intubation. Currently, there is enough evidence supporting using VL for DLT intubation in patients with predicted and unanticipated difficult airway. In conclusion, the use of VL could offer an effective method of DLT placement for lung separation in patients with the potential difficult airway.

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Section: Resultsmentioning

confidence: 99%

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

El-Tahan

2016

Saudi J Anaesth

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“…However, the large outer diameter and more rigid design of DLTs make them relatively harder to insert it through classic channeled blades. This requires either the use of a specific videolaryngoscope design like the DLT version of the Airtraq ® 4 , or the use of a tube exchanger over which a large DLT can be placed 25 . The DLT Airtraq ® laryngoscope is available for the 35 Fr to 41 Fr DLTs.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Double lumen tube insertion in a morbidly obese patient through the non-channelled blade of the King Vision™ videolaryngoscope

et al. 2014

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We describe the insertion of the double lumen endobronchial tube (DLT) using a non-channeled standard blade of the King Vision TM videolaryngoscope for one lung ventilation (OLV) in a morbidly obese patient with a predicted difficult airway, severe restrictive pulmonary function, asthma, and hypertension. The patient was scheduled for a video-assisted thoracoscopic lung biopsy. The stylet of the DLT was bent to fit the natural curve of the #3 non-channeled blade of the King Vision ™ videolaryngoscope. We conclude that the use of King Vision ™ videolaryngoscope could offer an effective method of DLT placement for OLV.

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“…In selected patients who seem easy to ventilate, this may be performed after induction of anesthesia with a bronchoscope or with a video laryngoscope [5,6]. An alternative when securing the airway prior to placing a lung isolation device is the use of a laryngeal mask airway; with the aid of a flexible fiberoptic bronchoscope, a single-lumen endotracheal tube can be passed through the laryngeal mask airway [7].…”

Section: Securing the Airway First: Difficult Airways And One-lung Vementioning

confidence: 99%

“…Then the endobronchial lumen of the DLT is advanced over the exchange catheter. It is optimal to use a video laryngoscope during the tube exchange to guide the DLT through the glottis under direct vision [5,24]. If a video laryngoscope is not available, then having an assistant perform a standard laryngoscopy during tube exchange partially straightens out the alignment of the oropharynx and glottis and facilitates the exchange.…”

Section: Use Of a Double-lumen Endotracheal Tube In Patients With Difmentioning

confidence: 99%

Lung isolation techniques for patients with difficult airway

Campos

2010

Current Opinion in Anaesthesiology

124

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In patients who require one-lung ventilation and who present with a difficult airway, the safest way to establish an airway is by placing a single-lumen endotracheal tube orally or nasotracheally while the patient is awake with the aid of a flexible fiberoptic bronchoscope. Lung isolation in these patients then is achieved by using an independent bronchial blocker; an alternative technique is to use a double-lumen endotracheal tube while using an airway catheter exchange technique. For the patient with a tracheostomy in place, an independent bronchial blocker is recommended.

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The Airway Scope for difficult double-lumen tube intubation

Cited by 22 publications

References 4 publications

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

Case Report: Double lumen tube insertion in a morbidly obese patient through the non-channelled blade of the King Vision™ videolaryngoscope

Lung isolation techniques for patients with difficult airway

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