Video-assisted double lumen tubes: The new gold standard?
Justin Norris, BSN, SRNA
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Achieving one-lung isolation in thoracic surgery is traditionally done using a conventional double-lumen endobronchial tube (cDLT). The cDLT must be placed into the mainstem bronchus of the nonoperative lung without interfering with lung function. Attaining proper placement of the cDLT can prove to be challenging and often requires additional equipment to confirm. The current gold standard for cDLT confirmation is the use of fiberoptic bronchoscopy (FOB) after tube placement. The video-assisted endobronchial (VDLT) is a new method for confirming double lumen endobronchial tube (DLT) placement. The VDLT is a DLT with an integrated camera that provides real-time visualization of the airway during the insertion and continuous confirmation of placment throughout the surgery.
For patients undergoing thoracic surgery requiring one-lung ventilation (OLV) via DLT, is the confirmation of proper positioning in the intraoperative period with a VDLT comparable to FOB examination of a cDLT?
|Type||DNP Capstone Project|
|Review Type||None: Degree-based Submission|
|Evidence Level||Case Study/Series|
|Research Approach||Translational Research/Evidence-based Practice|
|Keywords||Double Lumen Tubes;
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