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A clinical comparison of bronchial cuff pressures in three different designs of left double-lumen tubes

A clinical comparison of bronchial cuff pressures in three different designs of left double-lumen tubes

Anesthesia and Analgesia 77(2): 305-308

ISSN/ISBN: 0003-2999

PMID: 8346829

DOI: 10.1213/00000539-199308000-00015

This study compared the bronchial cuff pressures and volumes required by three different designs of disposable left double-lumen tubes during clinical one-lung ventilation in 48 patients having right thoracotomies. Mallinckrodt, Rusch, and Sheridan design tubes (n = 16 for each) were studied in a randomized fashion using Fr 35, 37, 39, and 41 sizes (n = 12 for each size). There were no pressure/volume differences between brands during bronchial cuff inflation before endotracheal intubation. Intraoperatively, the Sheridan design required significantly higher mean bronchial cuff pressures: (27.9 cm H-2O +- 17 cm H-2O (SD)) than either the Mallinckrodt (17.6 cm H-2O +- 8.5 cm H-2O (P = 0.012)) or Rusch (14.1 cm H-2O +- 8.6 cm H-2O (P = 0.010)) to achieve one-lung isolation. During prolonged one-lung ventilation, the potential for trauma to the bronchus may be reduced with a Mallinckrodt or Rusch design of left double-lumen tube.

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Accession: 008027928

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