Does the Presence of a Tracheal Bronchus Affect the Margin of Safety of Double-Lumen Tube Placement?
| Autor: | Wynnie W. M. Lam, S. K. Ng, Anthony M-H Ho, Tom Wai Kin Lee, David C. Chung, Freda O. Lam, Manoj K. Karmakar |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Mathematical relationship business.industry Respiratory disease Bronchi Anatomy respiratory system medicine.disease respiratory tract diseases Surgery Trachea Anesthesiology and Pain Medicine Increased risk Tracheal bronchus Bronchoscopy Cuff Intubation Intratracheal Humans Medicine Margin of safety Congenital disease business Double lumen tube |
| Zdroj: | Anesthesia & Analgesia. 99:293-295 |
| ISSN: | 0003-2999 |
| DOI: | 10.1213/01.ane.0000118106.09944.e7 |
| Popis: | During double-lumen tube (DLT) placement, the anesthesiologist must be mindful of the margin of safety. We determined how this margin is affected by the presence of a tracheal bronchus by elucidating the mathematical relationship between some relevant physical dimensions of the trachea, bronchi, and DLT. Our results suggest that a tracheal bronchus only rarely affects the intrinsic margin of safety of DLT placement. When the tracheal bronchus is located much higher than its most frequently seen location (within 2 cm from the carina), however, there is increased risk that it could be blocked by the tracheal cuff of a left-sided DLT. |
| Databáze: | OpenAIRE |
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