One lung ventilation
Clinical Procedure
 
Aliases:
OLV

Topic aliases are alternate phrasings for a particular topic.


You cannot endorse your own point endorse endorse
If sudden loss of ventilation occurs, consider that suction may have been turned on in the presence of a bronchopleural fistula.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Nov 02, 2012
Cancel
You cannot endorse your own point endorse endorse
Arndt bronchial blocker refl.in/bh

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
You cannot endorse your own point endorse endorse
Cohen bronchial blocker refl.in/bi

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
You cannot endorse your own point endorse endorse
If cuff leak when using double lumen ETT, disconnect tube, deflate both cuffs, advance tube, inflate both cuffs, and reconnect tube.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
Aug 05, 2011
PG MMC
Edit | (delete)
Cancel
1 You cannot endorse your own point endorse endorse
Managing hypoxia in one lung ventilation
- Scan monitor, other vitals stable?
- Confirm 100% O2 delivery.
- Notify surgeon.
- Assess tube depth & placement whilst ausculating lungs, ruling out pulmonay oedema/bronchospasm.
- Adequate paralysis?
- PEEP to dependent lung.
- CPAP or intermittent ventilation to non-dependent lung.
- If no improvement, ask surgeon to clamp pulmonary artery of non-dependent lung to redirect blood flow to ventilated lung.
- Consider ending case

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , Pieter Peach , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Apr 07, 2012
You cannot endorse your own point endorse endorse
Double lumen ETT allows more rapid deflation of operative lung than bronchial blockers refl.in/bj

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
Download attachment
You cannot endorse your own point endorse endorse
Double lumen ETT isolates the operative side lung whilst at the same time allowing evacuation of any contaminating fluid (blood, infected material)

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 28, 2011
You cannot endorse your own point endorse endorse
Double lumen ETTs need less frequent repositioning during the case than bronchial blockers. refl.in/bj

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
You cannot endorse your own point endorse endorse
Double lumen ETTs take less time to position than bronchial blockers refl.in/bj

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
Cancel
0
Video
5
Other
1 You cannot endorse your own point endorse endorse
Set low flows (0.5ml/hr) at beginning so that any leak is detected and dealt with before incision is made (PG MMC)

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , Pieter Peach , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 28, 2011
1 You cannot endorse your own point endorse endorse
Use a left sided double lumen tube unless surgery/pathology is at the proximal left main bronchus. Right sided tubes are more difficult to place as they are likely to obstruct right upper lobe.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , Pieter Peach , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 28, 2011
You cannot endorse your own point endorse endorse
Selective lobar isolation is possible with bronchial blocker, but not double lumen ETT

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
You cannot endorse your own point endorse endorse
Single lumen ETT with a bronchial blocker is easier to insert in patients with difficult airway and children (smaller size) refl.in/bj

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 05, 2011
Download attachment
You cannot endorse your own point endorse endorse
Univent tube refl.in/bg

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
Cancel