Which device should be considered the best for lung isolation: Double-lumen endotracheal tube versus bronchial blockers

Current Opinion in Anaesthesiology

Volumn 20, Issue 1, 2007, Pages 27-31

  Campos, Javier H ^a  

^a UNIVERSITY OF IOWA   (United States)

Author keywords

Bronchial blockers; Double lumen endotracheal tubes; Fiberoptic bronchoscopy; Lung isolation techniques

Indexed keywords

AIRWAY OBSTRUCTION; BRONCHIAL BLOCKER; DEVICE; DOUBLE LUMEN TUBE; ENDOTRACHEAL TUBE; ESOPHAGUS RESECTION; HUMAN; INTERMETHOD COMPARISON; ISOLATION PROCEDURE; LUNG COLLAPSE; PRIORITY JOURNAL; REVIEW; THORAX EPIDURAL ANESTHESIA; TRACHEOSTOMY;

BRONCHI; HUMANS; INTUBATION, INTRATRACHEAL; LUNG; RESPIRATION, ARTIFICIAL;

EID: 33846096828     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e3280111e2a     Document Type: Review

References (34)

1. Campos JH. Progress in lung separation. Thorac Surg Clin 2005; 15:71-83. This is a review article related to advances in lung separation techniques.
2. Campos JH. An update on bronchial blockers during lung separation techniques in adults. Anesth Analg 2003; 97:1266-1274.
3. Cohen E. The Cohen flexitip endobronchial blocker: an alternative to a double-lumen tube. Anesth Analg 2005; 101:1877-1879.
4. Campos JH, Kernstine KH. A comparison of a left-sided BronchoCath® with the torque control blocker Univent and the wire-guided blocker. Anesth Analg 2003; 96:283-289.
5. Campos JH, Hallam EA, Van Natta T, Kernstine KH. Devices for lung isolation used by anesthesiologists with limited thoracic experience. Anesthesiology 2006; 104:261-266. This is an article regarding the success/failure placement of lung isolation devices for nonthoracic anesthesiologists.
6. Brodsky JB, Lemmens HJ. Tracheal width and left double-lumen tube size: a formula to estimate left bronchial width. J Clin Anesth 2005; 17:267-270.
7. Sakuragi T, Kumano K, Yasumoto M, et al. Rupture of the left mainstem bronchus by the tracheal portion of a double-lumen endobronchial tube. Acta Anaesthesiol Scand 1997; 41:1218-1220.
8. Yüceyar L, Kaynak K, Canturk E, et al. Bronchial rupture with a left-sided polyvinylchloride double-lumen tube. Acta Anaesthesiol Scand 2003; 47:622-625.
9. Liu H, Jahr JS, Sullivan E, Waters PF. Tracheobronchial rupture after double-lumen endotracheal intubation. J Cardiothorac Vasc Anesth 2004; 18:228-233.
10. Mikuni I, Suzuki A, Takahata O, et al. Arytenoid cartilage dislocation caused by a double-lumen endobronchial tube. Br J Anaesth 2006; 96:136-138.
11. Vanner R. Arndt endobronchial blocker during esophagectomy. Anaesthesia 2005; 60:295-296.
12. Angie Ho CY, Chen CY, Yang MW, Liu HP. Use of the Arndt wire-guided endobronchial blocker via nasal for one-lung ventilation in patient with anticipated restricted mouth opening for esophagectomy. Eur J Cardiothorac Surg 2005; 28:174-175.
13. Campos JH, Kernstine KH. Use of the wire-guided endobronchial blocker for one-lung anesthesia in patients with airway abnormalities. J Cardiothorac Vasc Anesth 2003; 17:352-354.
14. Ng JM. The wire-guided endobronchial blocker providing one-lung ventilation. J Cardiothorac Vasc Anesth 2005; 19:136-138.
15. Tobias JD. Variations on one-lung ventilation. J Clin Anesth 2001; 13:35-39.
16. Brodsky JB, Benumof JL, Ehrenwerth J, et al. Depth of placement of left double-lumen endobronchial tubes. Anesth Analg 1991; 73:570-572.
17. Bahk JH, Oh YS. Prediction of double-lumen tracheal tube depth. J Cardiothorac Vasc Anesth 1999; 13:370-371.
18. Yasumoto M, Higa K, Nitahara K, et al. Optimal depth of insertion of left-sided double-lumen endobronchial tubes cannot be predicted from body height in below average-sized adult patients. Eur J Anaesthesiol 2006; 23:42-44.
19. Campos JH, Gomez MN. Pro: Right-sided double-lumen endotracheal tubes should be routinely used in thoracic surgery. J Cardiothorac Vasc Anesth 2002; 16:246-248.
20. Campos JH, Massa FCh. Is there a better right-sided tube for one-lung ventilation? A comparison of the right-sided double-lumen tube with the single-lumen tube with right-sided enclosed bronchial blocker. Anesth Analg 1998; 86:696-700.
21. Campos JH, Massa FCh, Kernstine KH. The incidence of right upper-lobe collapse when comparing a right-sided double-lumen tube versus a modified left double-lumen tube for left-sided thoracic surgery. Anesth Analg 2000; 90:535-540.
22. Benumof JL, Partridge BL, Salvatierra C, Keating J. Margin of safety in positioning modern double-lumen endotracheal tubes. Anesthesiology 1987; 67:729-738.
23. Brodsky JB, Lemmens HJM. Left double-lumen tubes: clinical experience with 1170 patients. J Cardiothorac Vasc Anesth 2003; 17:289-298.
24. Seymour AH, Prasad B, McKenzie RJ. Audit of double-lumen endobronchial intubation. Br J Anaesth 2004; 93:525-527.
25. Klein U, Karzai W, Bloos F, et al. Role of fiberoptic bronchoscopy in conjunction with the use of double-lumen tubes for thoracic anesthesia. Anesthesiology 1998; 88:346-350.
26. Fortier G, Coté D, Bergeron C, Bussieres JS. New landmarks improve the positioning of the left Broncho-Cath® double-lumen tube: comparison with the classic technique. Can J Anesth 2001; 48:790-794.
27. Campos JH. Current techniques for perioperative lung isolation in adults. Anesthesiology 2002; 97:1295-1301.
28. Fitzmaurice BG, Brodsky JB. Airway rupture from double-lumen tubes. J Cardiothorac Vasc Anesth 1999; 13:322-329.
29. Soto RG, Oleszak SP. Resection of the Arndt bronchial blocker during stapler resection of the left lower lobe. J Cardiothorac Vasc Anesth 2006; 20:131-132.
30. Sandberg WS. Endobronchial blocker dislodgement leading to pulseless electrical activity. Anesth Analg 2005; 100:1728-1730.
31. Lohser J, Brodsky JB. Silbronco double-lumen tube. J Cardiothorac Vasc Anesth 2006; 20:129-131.
32. Culp WC, Kinsky MP. Sequential one-lung isolation using a double Arndt bronchial blocker technique. Anesth Analg 2004; 99:945-946.
33. Campos JH. Effects on oxygenation during selective lobar versus total lung collapse with or without continuous positive airway pressure. Anesth Analg 1997; 85:583-586.
34. Ng JM, Hartigan PM. Selective lobar bronchial blockade following contralateral pneumonectomy. Anesthesiology 2003; 98:268-270.