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(In color): Different in vitro stages for correct placement of a right-sided double lumen tube by making use of an adult central venous catheter wire. (a) Mild plication of the supple distal extremity of the wire. (b) The wire is introduced through the endobronchial lumen. (c) The wire is slowly removed so that proper alignment between the wire extremity and the right upper lobe ventilation slot occurs. (d) The wire is removed again until its J-shaped extremity appears through the right-upper lobe ventilation slot. (e) When the location of the orifice of the right upper lobe is identified, the guide is moved forward though the slot into the upper lobe bronchus d c
Source publication
Background:
Accurate positioning of a right-sided double-lumen tube is essential but challenging due to the location and the potential obstruction of the right upper lobe bronchus. Fiberoptic bronchoscopy is, therefore, necessary but requires a specific training period for the anesthesiologist and might not always be available.
Objective:
We des...
Context in source publication
Context 1
... procedure is detailed in Figures 1 and 2. After mild plication of the distal extremity of an adult central venous catheter wire (Arrow ® , 0.53 mm diameter, 45 cm length, one straight soft tip on one end and one "J" tip on the other), the wire was introduced through the endobronchial lumen under fluoroscopic control. ...
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