Double Lumen Endobronchial Tube Video Channel Double Lumen Endotracheal Tube

Double Lumen Endobronchial Tube Video Channel Double Lumen Endotracheal Tube

A double lumen endotracheal tube (DLT) is an endotracheal tube designed to isolate the lungs from one another anatomically and/or physiologically

USES

Anatomical lung separation (this isolates a diseased lung from contaminating the non-diseased lung)

• Massive hemoptysis (protect normal lung from blood)
• Whole lung lavage for pulmonary alveolar proteinosis (lavage worst lung first)
• Copious secretions (e.g. bronchiectasis, lung abscess) (protect normal lung from pus)

Physiological lung separation (ventilates each lung as an independent unit)

• Unilateral parenchymal injury:
  — Aspiration
  — Pulmonary contusion
  — Pneumonia
  — Unilateral pulmonary edema
• Single lung transplant (post operative complications)
  — e.g. COPD patient with lung transplant requiring different ventilation strategies for each lung
• Bronchopleural fistula
  — allow ventilation of normal lung without worsening leak through fistula
• Unilateral bronchospasm
• Thoracic surgery e.g. pneumonectomy
  — right-sided DLT only used if left pneumonectomy or surgery on left main bronchus (e.g. to avoid dispruption of anastomosis on on left lung transplant)

Double Lumen Endobronchial Tube Video Channel Double Lumen Endotracheal Tube

Double Lumen Endobronchial Tube Video Channel Double Lumen Endotracheal Tube