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Related Experiment Videos

Methods of lung separation.

E Cohen1

  • 1Department of Anesthesia, The Mount Sinai School of Medicine, New York, NY, USA.

Minerva Anestesiologica
|June 8, 2004
PubMed
Summary
This summary is machine-generated.

Managing difficult airways during video-assisted thoracoscopy requires lung separation. Techniques include double lumen tubes (DLT) or bronchial blockers (BB), with newer devices like the Cohen Flexitip Endobronchial Blocker offering improved navigation.

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Area of Science:

  • Thoracic Surgery
  • Anesthesiology
  • Respiratory Medicine

Background:

  • Lung collapse is crucial for video-assisted thoracoscopy (VAT).
  • Lung separation is often necessary, posing challenges in patients with difficult airways.
  • Standard methods may involve double lumen tubes (DLT) or Univent tubes.

Purpose of the Study:

  • To review methods for lung separation during VAT, especially in difficult airway scenarios.
  • To highlight available devices and techniques for achieving one-lung ventilation (OLV).

Main Methods:

  • Discussion of intubation strategies for difficult airways, including awake fiberoptic intubation.
  • Description of techniques for achieving OLV with a single lumen tube (SLT) in place, such as using a tube exchanger or bronchial blockers (BB).

Related Experiment Videos

  • Introduction of the Cohen Flexitip Endobronchial Blocker as a recent advancement.

    • Main Results:

    • DLT and Univent tubes are options but challenging with difficult airways.
    • Bronchial blockers, including the Fogarty catheter and the newer Cohen Flexitip BB, provide alternatives for lung separation.
    • The Cohen Flexitip BB features a flexible tip for precise placement and a lumen for suctioning and oxygen insufflation.

    Conclusions:

    • Clinicians must be proficient in various lung separation techniques for VAT.
    • Familiarity with available devices, including advanced bronchial blockers, is essential for patient safety and effective OLV.