Lung Isolation in the Patient With a Difficult Airway

Stephen R Collins; Brian J Titus; Javier H Campos; Randal S Blank

doi:10.1213/ANE.0000000000002637

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Lung Isolation in the Patient With a Difficult Airway

Journal article

Open access

Peer reviewed

Lung Isolation in the Patient With a Difficult Airway

Stephen R Collins, Brian J Titus, Javier H Campos and Randal S Blank

Anesthesia and analgesia, Vol.126(6), pp.1968-1978

06/2018

DOI: 10.1213/ANE.0000000000002637

PMID: 29189274

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https://doi.org/10.1213/ANE.0000000000002637View

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Abstract

One-lung ventilation is routinely used to facilitate exposure for thoracic surgical procedures and can be achieved via several lung isolation techniques. The optimal method for lung isolation depends on a number of factors that include (1) the indication for lung isolation, (2) anatomic features of the upper and lower airway, (3) availability of equipment and devices, and (4) the anesthesiologist's proficiency and preferences. Though double-lumen endobronchial tubes (DLTs) are most commonly utilized to achieve lung isolation, the use of endobronchial blockers offer advantages in patients with challenging airway anatomy. Anesthesiologists should be familiar with existing alternatives to the DLT for lung isolation and alternative techniques for DLT placement in the patient with a difficult airway. Newer technologies such as videolaryngoscopy with or without adjunctive fiberoptic bronchoscopy may facilitate intubation and lung isolation in difficult airway management.

One-Lung Ventilation - methods

Humans

One-Lung Ventilation - instrumentation

Fiber Optic Technology - instrumentation

Intubation, Intratracheal - methods

Lung - diagnostic imaging

Trachea - diagnostic imaging

Fiber Optic Technology - methods

Airway Management - instrumentation

Intubation, Intratracheal - instrumentation

Airway Management - methods

Details

Title: Subtitle: Lung Isolation in the Patient With a Difficult Airway
Creators: Stephen R Collins - From the Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia
Brian J Titus - From the Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia
Javier H Campos - Department of Anesthesia, University of Iowa Healthcare, Iowa City, Iowa
Randal S Blank - From the Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia
Resource Type: Journal article
Publication Details: Anesthesia and analgesia, Vol.126(6), pp.1968-1978
Publisher: United States
DOI: 10.1213/ANE.0000000000002637
PMID: 29189274
ISSN: 0003-2999
eISSN: 1526-7598
Language: English
Date published: 06/2018
Academic Unit: Anesthesia
Record Identifier: 9984006355602771

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