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Application of a Newly Designed Right-sided, Double-lumen Endobronchial Tube in Patients with a Very Short Right Mainstem Bronchus
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Description
FROM the anatomical point of view, the modern rightsided, double-lumen endobronchial tube (rDLT) has a small margin of safety in positioning. However, rDLTs are preferable to left-sided DLTs or bronchial blockers in patients who have proximal left mainstem bronchial lesions such as strictures, endoluminal tumors, or tracheobronchial disruptions and in patients whose left main bronchus is taken off from the trachea approximately 90° because of the external mass. 1 In the cases being reported here, we used the newly designed rDLT (Cliny ® ; Create Medic Co., Ltd., Yokohama, Japan) in patients characterized by a very short right mainstem bronchus. The Cliny ® rDLT has a long oblique bronchial cuff and two ventilation slots for the right upper lobe. The proximal part of the bronchial cuff is located immediately opposite the tracheal orifice (fig. 1).
Journal
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- Anesthesiology
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Anesthesiology 109 565-568, 2008-09-01
Ovid Technologies (Wolters Kluwer Health)
