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- Patrick M Singley, Thomas J Peterson, William E Rallya, Dominick J Iaconetti, Sandeep J Khandhar, and John A Hodgson.
- From the Department of Anesthesiology, Walter Reed National Military Medical Center, Bethesda, Maryland.
- A A Pract. 2022 May 1; 16 (5): e01586e01586.
AbstractOne-lung ventilation (OLV) can be accomplished utilizing a double-lumen tube (DLT) and an endobronchial blocker (EBB) or intentionally placing a standard endotracheal tube (ETT) into a mainstem bronchus. However, secondary options must be available should the primary method fail. We present a case where an EBB and a fiberoptic bronchoscope (FOB) were successfully passed through a left-sided DLT to reestablish right-lung isolation after the DLT bronchial cuff was surgically damaged. We advocate competency in placing both DLTs and EBBs, as well as having EBBs readily accessible as a secondary isolation method during OLV.Copyright © 2022 International Anesthesia Research Society.
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