Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Progress in lung separation.

Javier H Campos1

  • 1Department of Anesthesia, University of Iowa Health Care, 200 Hawkins Drive, Iowa City, IA 52242-1079, USA. javier-campos@uiowa.edu

Thoracic Surgery Clinics
|February 15, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Navigational Bronchoscopy versus Transthoracic Needle Biopsy for Lung Nodules: A Diagnostic Dilemma.

Journal of cardiothoracic and vascular anesthesia·2025
Same author

Expert Consensus on the Multidisciplinary Management and Resectability of Locally Advanced Non-Small Cell Lung Cancer.

Journal of cardiothoracic and vascular anesthesia·2025
Same author

Postoperative Blindness Following Thymoma Resection Due to Iatrogenic Superior Vena Cava Syndrome.

Journal of cardiothoracic and vascular anesthesia·2025
Same author

The Importance of Margin Distance After Thoracoscopic Segmentectomy for Non-small Cell Lung Cancer.

Journal of cardiothoracic and vascular anesthesia·2025
Same author

Expert Consensus on the Management of Pleural Drains After Pulmonary Lobectomy.

Journal of cardiothoracic and vascular anesthesia·2025
Same author

The Society of Thoracic Surgeons General Thoracic Surgery Database: A Unique Society on Quality Healthcare and Outcomes.

Journal of cardiothoracic and vascular anesthesia·2024
Same journal

Pleuropulmonary Infectious Diseases: Impact of the Diseases and the Scarce Literature.

Thoracic surgery clinics·2026
Same journal

TB or Not TB-Septic or Resect? That Is the Question.

Thoracic surgery clinics·2026
Same journal

Surgery for Pulmonary Aspergillosis.

Thoracic surgery clinics·2026
Same journal

Current Treatment for Mediastinitis.

Thoracic surgery clinics·2026
Same journal

Surgical Management of Pulmonary Mucormycosis.

Thoracic surgery clinics·2026
Same journal

Surgical Management of Pulmonary Hydatid Disease.

Thoracic surgery clinics·2026
See all related articles

Anesthesiologists use advanced lung separation devices like double-lumen endotracheal tubes (DLTs) and bronchial blockers for thoracic surgery. Fiberoptic bronchoscopy ensures optimal placement of these critical airway management tools.

Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Respiratory Care

Background:

  • Lung separation technology has advanced, enabling skilled use of fiberoptic bronchoscopy.
  • Double-lumen endotracheal tubes (DLTs) and bronchial blockers are available for lung collapse and one-lung ventilation (OLV).

Purpose of the Study:

  • To review the utility and optimal use of lung separation devices in thoracic surgery.
  • To highlight the role of fiberoptic bronchoscopy in device placement and management.

Main Methods:

  • Discussion of DLTs (left-sided and right-sided) and bronchial blocker technologies (e.g., Arndt, Cohen, TCBU).
  • Emphasis on the application of fiberoptic bronchoscopy for device positioning.
  • Consideration of patient-specific factors, including airway anatomy.

Related Experiment Videos

Main Results:

  • Left-sided DLTs are common due to a wider safety margin.
  • Right-sided DLTs serve as an alternative when left-sided placement is contraindicated.
  • Bronchial blockers offer advantages for patients with difficult or abnormal airways.

Conclusions:

  • All cases requiring lung collapse and OLV should utilize DLTs or bronchial blockers.
  • Optimal device positioning is best achieved with fiberoptic bronchoscopy in supine and lateral decubitus positions.
  • Fiberoptic bronchoscopy is crucial for initial placement and repositioning of lung separation devices.