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

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...

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Autor principal: El-Tahan, MR
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799618/
https://www.ncbi.nlm.nih.gov/pubmed/27051377
http://dx.doi.org/10.4103/1658-354X.168804
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author El-Tahan, MR
author_facet El-Tahan, MR
author_sort El-Tahan, MR
collection PubMed
description 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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spelling pubmed-47996182016-04-05 Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view? El-Tahan, MR Saudi J Anaesth Review Article 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. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4799618/ /pubmed/27051377 http://dx.doi.org/10.4103/1658-354X.168804 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
El-Tahan, MR
Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?
title Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?
title_full Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?
title_fullStr Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?
title_full_unstemmed Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?
title_short Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?
title_sort videolaryngoscopes for placement of double lumen tubes: is it time to say goodbye to direct view?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799618/
https://www.ncbi.nlm.nih.gov/pubmed/27051377
http://dx.doi.org/10.4103/1658-354X.168804
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