Login
Site Search
Trauma-List Subscription

Subscribe

Would you like to receive list emails batched into one daily digest?
No Yes

 

Modify Your Subscription

Modify

 

Home > List Archives

List Archives

For your convenience, find the Trauma List Archive Below

Fw: double dumen endotracheal tube

Keith D. Lamb trauma-list@trauma.org
Sun, 3 Mar 2002 11:07:17 -0500 

This is a multi-part message in MIME format.

------=_NextPart_000_00A9_01C1C2A3.94ECF6E0
Content-Type: text/plain;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

Sorry for the double/cross post but I sent it the first time without a =
subject line

Keith D. Lamb RCP, RRT
Christiana Care Hospital
Newark, Delaware
----- Original Message -----=20
From: Keith D. Lamb=20
To: trauma-list@trauma.org ; Respiratory Care Professionals World Forum =
; ccm-l@list.pitt.edu=20
Sent: Sunday, March 03, 2002 10:58 AM


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

------=_NextPart_000_00A9_01C1C2A3.94ECF6E0
Content-Type: text/html;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<META content=3D"MSHTML 5.50.4207.2601" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Sorry for the double/cross post but I =
sent it the=20
first time without a subject line</FONT></DIV>
<DIV>&nbsp;</DIV>
<DIV>Keith D. Lamb RCP, RRT<BR>Christiana Care Hospital<BR>Newark,=20
Delaware</DIV>
<DIV style=3D"FONT: 10pt arial">----- Original Message -----=20
<DIV style=3D"BACKGROUND: #e4e4e4; font-color: black"><B>From:</B> <A=20
title=3Dkdlamb@prodigy.net href=3D"mailto:kdlamb@prodigy.net">Keith D. =
Lamb</A>=20
</DIV>
<DIV><B>To:</B> <A title=3Dtrauma-list@trauma.org=20
href=3D"mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> ; <A=20
title=3DRC_WORLD@LISTSERV.IUPUI.EDU=20
href=3D"mailto:RC_WORLD@LISTSERV.IUPUI.EDU">Respiratory Care =
Professionals World=20
Forum</A> ; <A title=3Dccm-l@list.pitt.edu=20
href=3D"mailto:ccm-l@list.pitt.edu">ccm-l@list.pitt.edu</A> </DIV>
<DIV><B>Sent:</B> Sunday, March 03, 2002 10:58 AM</DIV></DIV>
<DIV><BR></DIV>
<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>

------=_NextPart_000_00A9_01C1C2A3.94ECF6E0--