+ Translate
+ Most Popular
The pigeon tick (Argas reflexus): its biology, ecology, and epidemiological aspects
Prevalence of hemoglobin abnormalities in Kebili (Tunisian South)
Lipogranuloma: a preventable complication of dacryocystorhinostomy
Value of basal plasma cortisol assays in the assessment of pituitary-adrenal insufficiency
Bees from the Belgian Congo. The acraensis group of Anthophora
Placing gingival retraction cord
Total serum IgE, allergy skin testing, and the radioallergosorbent test for the diagnosis of allergy in asthmatic children
Acariens plumicoles Analgesoidea parasites des oiseaux du Maroc
Injuries of terminal phalanges of the fingers in children
Biology of flowering and nectar production in pear (Pyrus communis)
Das Reliktvorkommen der Aspisviper (Vipera aspis L.) im Schwarzwald
Hydrological modelling of drained blanket peatland
Pathologic morphology and clinical significance of the anomalous origin of the left circumflex coronary artery from the right coronary artery. General review and autopsy analysis of 30 cases
Cyto genetic analyses of lymphocyte cultures after exposure to calcium cyclamate
Axelrodia riesei, a new characoid fish from Upper Rio Meta in Colombia With remarks concerning the genus Axelrodia and description of a similar, sympatric, Hyphessobrycon-species
Favorable evolution of a case of tuberculosis of pancreas under antibiotic action
RIFM fragrance ingredient safety assessment, Valencene, CAS Registry Number 4630-07-3
Parenteral microemulsions: an overview
Temperate pasture: management for grazing and conservation
Evaluation of a new coprocessed compound based on lactose and maize starch for tablet formulation
Thermal expansion and cracking of three confined water-saturated igneous rocks to 800C
Revision of the genera of the tribe Stigmoderini (Coleoptera: Buprestidae) a discussion of phylogenetic relationships
Anal tuberculosis. Report of a case
Gastric tuberculosis in the past and present
Adaptive responses of the cardiovascular system to prolonged spaceflight conditions: assessment with Holter monitoring

The effects of endobronchial cuff inflation on double-lumen endobronchial tube movement after lateral decubitus positioning

The effects of endobronchial cuff inflation on double-lumen endobronchial tube movement after lateral decubitus positioning

Journal of Cardiothoracic and Vascular Anesthesia 11(5): 595-598

ISSN/ISBN: 1053-0770

PMID: 9263092

DOI: 10.1016/s1053-0770(97)90011-2

This study was designed to measure changes in tracheal and bronchial lumen distances from mainstem and secondary carina with lateral positioning, and to assess whether inflation of the endobronchial cuff before lateral positioning would further secure a double-lumen endobronchial tube (DLT) and reduce movement. Prospective study. University-affiliated cancer center. Fifty adult patients scheduled for elective thoracic surgical procedures requiring the placement of a left DLT. Patients were sequentially assigned to either the endobronchial cuff-inflated group or the deflated group during lateral positioning. After induction of general anesthesia, a left polyvinylchloride (PVC) DLT was placed and the position confirmed. In the supine position, the distance from the tip of the tracheal lumen to main carina was measured using a fiberoptic bronchoscope (FOB) passed through the tracheal lumen, and the distance from the bronchial lumen to secondary carina was measured with the FOB passed through the bronchial lumen. The patients were then positioned laterally and a second set of measurements taken. Overall movement was determined by increases and decreases in tracheal and bronchial distances obtained by substracting supine values from lateral values. There was significant tracheal movement in 40 of 50 patients, with a mean of 0.92 +/- 1.0 cm. This was predominantly in the upward direction, as seen in 35 of 50 patients. There was significant bronchial movement in 37 of 50 patients, with a mean of 0.92 +/- 1.15 cm. Also, predominance in the upward direction was seen in 34 of 50 patients. DLTs move with lateral positioning, regardless of endobronchial cuff inflation. The movement is predominantly in the upward direction. Therefore, fiberoptic visualization in the supine position should be used only to confirm that the endobronchial lumen is placed on the appropriate side and the cuff is at least 1 cm inside the left mainstem bronchus. Final positioning should always be verified in the lateral position.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 047630339

Download citation: RISBibTeXText

Related references

Effect of single lumen endobronchial tube and double lumen endobronchial tube on ventilation and lung injury in patients with esophageal cancer undergoing combined thoracoscopic and laparoscopic esophagectomy. Zhonghua Yi Xue Za Zhi 97(28): 2194-2197, 2017

Effects of selective left lower lobar blockade by Coopdech endobronchial blocker tube on intrapulmonary shunt and arterial oxygenation: a comparison with double-lumen endobronchial tube. Nan Fang Yi Ke da Xue Xue Bao 29(11): 2244-2247, 2009

Positioning the double-lumen endobronchial tube. Canadian Journal of Anaesthesia 49(5): 526-7; Author Reply 527, 2002

Endobronchial anesthesia for Japanese using Robertshaw double-lumen endobronchial tube. Masui. Japanese Journal of Anesthesiology 32(6): 718-722, 1983

Con: proper positioning of a double-lumen endobronchial tube can only be accomplished with the use of endoscopy. Journal of Cardiothoracic Anesthesia 2(1): 105-109, 1988

Proper positioning of a double-lumen endobronchial tube can only be accomplished with endoscopy: Pro and Con. Journal of Cardiothoracic Anesthesia 2(1): 101-109, 1988

Pro: proper positioning of a double-lumen endobronchial tube can only be accomplished with endoscopy. Journal of Cardiothoracic Anesthesia 2(1): 101-104, 1988

Endobronchial inflammatory polyp after thoracoabdominal aneurysm surgery: a late complication of use of a double-lumen endobronchial tube. Anesthesiology 84(5): 1234-1236, 1996

Positioning of a double-lumen endobronchial tube without the aid of any instruments: an implication for emergency management. Journal of Trauma 49(5): 899-902, 2000

Displacement of the double-lumen endobronchial tube can be detected by bronchial cuff pressure change. Anesthesia and Analgesia 84(6): 1349-1353, 1997

Bronchial cuff pressure change caused by left-sided double-lumen endobronchial tube displacement. Canadian Journal of Anaesthesia 47(8): 775-779, 2000

Main tracheal cuff failure of a double-lumen endobronchial tube induced by a position change during surgery. Journal of Cardiothoracic and Vascular Anesthesia 12(4): 496-497, 1998

Modified right-sided Broncho-Cath double lumen tube improves endobronchial positioning: a randomized study. Canadian Journal of Anaesthesia 54(4): 276-282, 2007

Comparison of Arndt-endobronchial blocker plus laryngeal mask airway with left-sided double-lumen endobronchial tube in one-lung ventilation in thoracic surgery in the morbidly obese. Brazilian Journal of Medical and Biological Research 51(2): E6825, 2017

A Randomized Controlled Trial Comparing Novel Triple-Cuffed Double-Lumen Endobronchial Tubes with Conventional Double-Lumen Endobronchial Tubes for Lung Isolation. Journal of clinical medicine 9(4), 2020