Co-existing diseases- One lung ventilation

Question 1

One lung ventilation:

what are 2 absolute indications

Answer 1

prevent contamination of healthy lung

control distribution of ventilation

Question 2

One lung ventilation:

what is 1 relative indication

Answer 2

surgical exposure

Question 3

One lung ventilation:

what is a Carlens tube?

Answer 3

left sided DLT w/ carinal hook

Question 4

One lung ventilation:

what is a white tube?

Answer 4

right sided Carlens tube

Question 5

One lung ventilation:

what is a robertshaw tube

Answer 5

a DLT avail in right or left that does not have a carinal hook

Question 6

One lung ventilation:

how do you place a Robertshaw tube?

Answer 6

concave curve is anterior (12 O’clock)
after tip of tube passed cords the tube is turned 90 degrees to the left (9 O’clock) and advanced until resistance is met

Question 7

One lung ventilation:

how do you verify a Robertshaw tube?

Answer 7

• Inflate tracheal cuff and confirm Bilat equal breath sounds
• inflate bronchial cuff and confirm bilat equal breath sounds
• confirm one lung ventilation by clamping each lumen

Question 8

One lung ventilation:

what is the main goal of OLV

Answer 8

optimize arterial oxygenation