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If concerned about soiling of the normal lung with contents from the lung with pathology, consider performing a gas induction in the lateral position with the pathology side down

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Sep 08, 2011
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If an ICC is present, it should be on drainage, but not suction, as suction may "steal" air from the contralateral lung.

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If the patient is unwell and spontaneous ventilation induction may be difficult, the patient is usually relatively obtunded anyway and awake insertion of double lumen tube with topical/regional LA may be possible.

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