Traumatic injury to the airway during insertion or removal of tubeģ. Distorted tracheal anatomy (tracheal or bronchial stenosis), may not be able to position adequatelyĢ. **Trickier to put in, takes longer to put in What are the 3 disadvantages/complications of a double-lumen endotracheal tube? 1. Patients who are likely to be difficult to intubate Patients requiring rapid intubation to prevent aspiration of gastric contentsĢ. Improves effectiveness suction for secretions, pus or blood (can go further into a lung) What is the absolute contraindication for a double-lumen endotracheal tube? If there is an airway mass that may be occluding, dislodged, traumatized or hemorrhaging What are the 2 relative contraindications of a double-lumen endotracheal tube? 1. Allow for application of CPAP to a non-ventilated lung to prevent atelectasisĥ. Allow for differential ventilation to both lungsĤ. Allows for independent lung ventilation (ILV)ģ. Why would you isolate a lung during thoracic surgery? You would use isolation because it provides a still surgical field and it would decrease surgical trauma to the operative side Why would you isolate a lung in pulmonary infections? It separates the lungs to prevent spillage of pus from the infective lung into the noninfective lung Why would you isolate a lung during hypoxemia? Due to unilateral lung disease, it may be treated by selectively ventilating the non-diseased or less diseased lung What are the 5 indications for a Double-Lumen endotracheal tube? 1.
If there are no lung sounds, the tube was placed in the trachea - deflate distal cuff and bag white tube. Inflate Tracheal cuff (white) with 10-15 mL What tube do you bag first in the combitube? Bag the longer, blue tube first. Inflate Pharyngeal cuff (blue) with 85-100 mL How do you insert the combitube? -Head is in the neutral position
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