Airway management for lung separation in thoracic surgery : An update

One of the main tasks in every anesthetist's routine clinical practice is securing the airway. This also includes techniques for lung isolation and one-lung ventilation in thoracic surgery and in intensive care medicine. The anesthesiologist has various methods available to achieve one-lung ven...

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Bibliographic Details
Published in:Der Anaesthesist 2018-08, Vol.67 (8), p.555
Main Authors: Meggiolaro, K M, Wulf, H, Feldmann, C, Wiesmann, T, Schubert, A-K, Risse, J
Format: Article
Language:ger
Subjects:
Airway Management - methods
Anesthesia - methods
Bronchi - physiology
Humans
One-Lung Ventilation - methods
Thoracic Surgical Procedures - methods
Online Access:Get full text
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Summary:One of the main tasks in every anesthetist's routine clinical practice is securing the airway. This also includes techniques for lung isolation and one-lung ventilation in thoracic surgery and in intensive care medicine. The anesthesiologist has various methods available to achieve one-lung ventilation. This article presents the most commonly used methods for lung isolation. These include the double lumen tube, the bronchus blockers by Arndt and Cohen, the EZ blocker, the Uniblocker, the Univent tube and the VivaSight-DL™. The effects of the one-lung ventilation are not described in detail and for this the reader should refer to the appropriate literature. This article is intended to provide an overview of the various possibilities for lung separation, especially for physicians in continued medical education and also for physicians who rarely use these procedures.
ISSN:1432-055X
DOI:10.1007/s00101-018-0470-1