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Sun, 3 Mar 2002 10:58:06 -0500

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How often are folks intubating with double lumen endotracheal tubes and =
for what indications? I don't meant intra-op for thoracic surgery...but =
pre-op...or post-op...for specific injury/pathology and to facilitate =
independent lung ventilation.=20

For what injury/pathology are you seeing this performed most often? =
Example parenchymal injury/pathology or bronchus injury.....fistula etc. =

When your patient IS intubated in this fashion and each lung is being =
ventilated independently.....what kind of strategy do you employ =
regarding ventilator modes. Do you synchronize or not. Do you attempt to =
use just a little bit of CPAP with the injured side...or some other =
strategy. Do you conventionally ventilate the healthy lung and "jet" or =
"oscillate" the injured lung? Does tracheal gas insufflation have a role =
in this setting?  Any thoughts?

keith

Keith D. Lamb RCP, RRT
Christiana Care Hospital
Newark, Delaware

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<DIV><FONT face=3DArial size=3D2>How often are folks intubating with =
double lumen=20
endotracheal tubes and for what indications? I don't meant intra-op for =
thoracic=20
surgery...but pre-op...or post-op...for specific injury/pathology and to =

facilitate independent lung ventilation. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>For what injury/pathology are you =
seeing this=20
performed most often? Example parenchymal injury/pathology or bronchus=20
injury.....fistula etc. </FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>When your patient IS intubated in this =
fashion and=20
each lung is being ventilated independently.....what kind of strategy do =
you=20
employ regarding ventilator modes. Do you synchronize or not. Do you =
attempt to=20
use just a little bit of CPAP with the injured side...or some other =
strategy. Do=20
you conventionally ventilate the healthy lung and "jet" or "oscillate" =
the=20
injured lung?&nbsp;Does&nbsp;tracheal gas insufflation have a role in =
this=20
setting? &nbsp;Any thoughts?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>keith</FONT></DIV>
<DIV><FONT face=3DArial size=3D2></FONT>&nbsp;</DIV>
<DIV><FONT face=3DArial size=3D2>Keith D. Lamb RCP, RRT<BR>Christiana =
Care=20
Hospital<BR>Newark, Delaware</FONT></DIV></BODY></HTML>

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