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LUNG ISOLATION TECHNIQUES

2001; Elsevier BV; Volume: 19; Issue: 3 Linguagem: Inglês

10.1016/s0889-8537(05)70243-1

1558-4259

Javier H. Campos,

Nosocomial Infections in ICU

The first description of the use of a double-lumen endotracheal tube system for lung surgery was reported in 1962.26 Since then, several techniques have been developed to improve lung isolation while maintaining one-lung ventilation. This article discusses most common tubes used for lung isolation: left- and right-sided double-lumen endotracheal tubes21; single-lumen endotracheal tube with enclosed bronchial blocker Univent (Fuji Systems Corporation, Tokyo, Japan)23; wire-guided endobronchial blocker WEB (Cook Critical Care, Bloomington, IN)3; and independent bronchial blockers, such as the Fogarty (Baxter Healthcare Corporation, Irvine, CA) embolectomy catheter.16 Table 1 outlines five specific areas in which lung isolation is required based on studies or unique case reports.