Endobronchial tubes – a case for re‐evaluation

Summary An endobronchial tube (Macintosh‐Leatherdale) was used to secure the airway for a tracheal resection and end‐to‐end anastomosis. This lung separation device enabled insertion of both a fibreoptic bronchoscope and a tube exchange catheter. These were required after the trachea was transected...

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Bibliographic Details
Published in:Anaesthesia 2006-06, Vol.61 (6), p.587-590
Main Authors: Conacher, I. D., Velasquez, H., Morrice, D. J.
Format: Article
Language:English
Subjects:
Aged
Anastomosis, Surgical
Anesthesia
Anesthesia, General - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Bronchi
Bronchoscopy
Equipment Design
Female
Fiber Optic Technology
High-Frequency Jet Ventilation - methods
Humans
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Medical sciences
Tracheal Neoplasms - surgery
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Description
Summary:Summary An endobronchial tube (Macintosh‐Leatherdale) was used to secure the airway for a tracheal resection and end‐to‐end anastomosis. This lung separation device enabled insertion of both a fibreoptic bronchoscope and a tube exchange catheter. These were required after the trachea was transected and re‐anastomosis proved surgically difficult. The airway exchange catheter allowed for jet ventilation and later a tube change when an emergency occurred. Options and management issues for tracheal surgery and lung separators are discussed. A case is made for a re‐evaluation of endobronchial tubes both as a useful conduit for modern airway instruments and as an alternative to small double‐lumen tubes for the increasing population of obese patients weighing > 100 kg, requiring thoracic surgery.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.2006.04644.x