Abstract

Achieving one-lung isolation in thoracic surgery is traditionally done using a conventional double-lumen endobronchial tube (cDLT). The cDLT must be placed into the mainstem bronchus of the nonoperative lung without interfering with lung function. Attaining proper placement of the cDLT can prove to be challenging and often requires additional equipment to confirm. The current gold standard for cDLT confirmation is the use of fiberoptic bronchoscopy (FOB) after tube placement. The video-assisted endobronchial (VDLT) is a new method for confirming double lumen endobronchial tube (DLT) placement. The VDLT is a DLT with an integrated camera that provides real-time visualization of the airway during the insertion and continuous confirmation of placment throughout the surgery.

For patients undergoing thoracic surgery requiring one-lung ventilation (OLV) via DLT, is the confirmation of proper positioning in the intraoperative period with a VDLT comparable to FOB examination of a cDLT?

Justin Norris

Author Details

Justin Norris, BSN, SRNA

Sigma Membership

Non-member

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Double Lumen Tubes, Endobronchial Tubes, One-Lung Ventilation

Advisor

Cahoon, Terri

Degree

DNP

Degree Grantor

Samford University

Degree Year

2023

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2023-03-06

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