Pro: Bronchial Blockers Should Be Used Routinely for Providing One-Lung Ventilation

Published:October 30, 2014DOI:https://doi.org/10.1053/j.jvca.2014.07.028
      ONE-LUNG VENTILATION (OLV) traditionally has been provided with the use of a double-lumen tube (DLT). The use of bronchial blockers (BBs) to provide lung isolation has grown in recent years. Despite the development of BBs specifically designed for lung separation, the DLT has remained the preferred technique for providing lung isolation. A recent survey in the United Kingdom revealed a 98% preference rate for the DLT,
      • Shelley B.
      • Macfie A.
      • Kinsella J.
      Anesthesia for thoracic surgery: A survey of UK Practice.
      and 64% of respondents reported rarely using a BB to provide lung isolation. A number of arguments have been advanced to support the notion that a DLT is superior to a BB and should be used routinely for providing OLV. In reality, some of these arguments are myths while others are valid, as will be presented in the discussion below.

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