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Lung deflation during one-lung ventilation (OLV) is thought to be faster using a double-lumen endotracheal tube (DL-ETT) than with a bronchial blocker, especially when the non-ventilated lumen is opened to allow egress of air from the operative lung. Nevertheless, ambient air can also be entrained into the non-ventilated lumen before pleural opening and subsequently delay deflation. We therefore hypothesized that occluding the non-ventilated DL-ETT lumen during OLV before pleural opening would prevent air entrainment and consequently enhance operative lung deflation during video-assisted thoracoscopic surgery (VATS).

canadian journal of anaesthesia/canadian journal of anesthesia

Déflation du poumon non ventilé pendant la ventilation unipulmonaire avec un tube endotrachéal à double lumière : une étude randomisée contrôlée d’occlusion de la lumière endobronchique du poumon non ventilé avant l’ouverture pleurale