Answer QOW April 2-2017

Answer QOW April 2-2017

Which 3 of the following are correct regarding double lumen tubes (DLT)?
  1. A left sided DLT should be used for all (left, right, bilateral) lung transplantations.
  2. Warming of DLTs in saline reduces the incidence of airway trauma and sore throat.
  3.  There is a correlation between patient height and DLT size in Asians.
  4. Right sided DLTs are usually required for left sleeve lobectomies.
 
— Height correlates more with length.
References:

 

Iderris SS, et al. Selection of an appropriate left-sided double-lumen tube size for one-lung ventilation among Asians. Ann Card Anaesth. 2017 Jan-Mar;20(1):28-32.
Seo JH, et al. The effects of thermal softening of double-lumen endobronchial tubes on postoperative sore throat, hoarseness and vocal cord injuries: a prospective double-blind randomized trial. Br J Anaesth. 2016 Feb;116(2):282-8.
2017-04-02T07:57:20+00:00