Double-lumen tube for ventilation in severe kyphoscoliosis

The presence of kyphoscoliosis can adversely affect gas exchange because of restriction to gas flow and reduction of lung volume. The effects become more exaggerated during positive-pressure ventilation due to the uneven distribution of ventilation. The use of a double-lumen tube helps to reduce the...

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Bibliographic Details
Published in:Journal of anesthesia 2008, Vol.22 (3), p.317-321, Article 317
Main Authors: Kundra, Pankaj, Joseph, Anita, Kumar, Senthil, Sai Chandran, B. V.
Format: Article
Language:English
Subjects:
Adolescent
Algorithms
Anesthesiology
Blood Gas Analysis
Clinical Report
Critical Care Medicine
Emergency Medicine
Female
Heart Septal Defects, Atrial - complications
Heart Septal Defects, Atrial - surgery
Humans
Hypoxia - prevention & control
Intensive
Intubation, Intratracheal - methods
Kyphosis - complications
Medicine
Medicine & Public Health
Pain Medicine
Positive-Pressure Respiration - instrumentation
Radiography
Respiratory Function Tests
Scoliosis - complications
Scoliosis - diagnostic imaging
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Summary:The presence of kyphoscoliosis can adversely affect gas exchange because of restriction to gas flow and reduction of lung volume. The effects become more exaggerated during positive-pressure ventilation due to the uneven distribution of ventilation. The use of a double-lumen tube helps to reduce the ventilation perfusion mismatch that occurs because of positive-pressure ventilation. We report a patient with severe kyphoscoliosis who underwent repair of an atrial septal defect, in whom a double-lumen tube was used for ventilation and the conduct of general anesthesia.
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-008-0638-y