Progress in positioning double-lumen endobronchial.docVIP

Progress in positioning double-lumen endobronchial Thoracic surgery often requires one-lung ventilation, patients are treated by inserting double-lumen endobronchial tube (DLT) to achieve. One-lung ventilation can protect the ipsilateral lung and contralateral lung absolute isolation, to prevent the contents into the contralateral lung ipsilateral to ensure perioperative respiratory function in patients with circulation and stability, to the surgery to create a good field of vision. (1), but double-lumen intubation technically demanding, often difficult to achieve an accurate position. DLT position to determine the most classic and most common is the auscultatory method; the most accurate and most intuitive is a fiber-ending (FB) positioning method. In addition, there are a large number of positioning method. In this paper, to be a simple overview of this area. 1, auscultation auscultation France France recognized the right place DLT pipe end conditions: (1). Lung ventilation, the lungs before intubation ventilation breath sounds with the same; (2). One-lung ventilation, the ventilation side of the upper and lower pre-intubation chest breath sounds with the same side of the non-ventilation chest breath sounds disappeared (2). (3). One-lung ventilation, open the contralateral joint, residual gas emptying, no extra gas emissions. The method advantages: simple operation, in addition to other equipment does not require outside stethoscope. Disadvantages: positioning accuracy rate is low. Allianme, etc. (3) found that auscultation confirmed that the pipe ends have been in the best location, and then FB inspection, found that 78% of the left DLT pipe end and 83% of the right-side position of DLT tubes need to be adjusted. Hurford et al (4) found that auscultation confirmed dislocation rate of the pipe ends accounted for 44%, lateral position need to re-adjust after the surgery accounted for 30%. Ouyang Yi Bao, etc. (1) that the right DLT pipe end higher rate of dislocat