Endobronchial Tubes are Endobronchial double lumen tube used in thoracic surgery

Endobronchial Tubes Double Lumen include Right sided Endobronchial Tubes and Left sided Endobronchial tubes

1. Three styles of bronchial cuffs are available

2. Two styles of connectors,fixed and non-fixed.

3. Low-pressure cuffs can help to reduce the lesin of muscosa.

4. Available also in a set together with connector and three pieces of suction catheters

5. Size(Fr): 28, 32, 35, 37 ,39 41

Endobronchial tubes are used in thoracic surgery. Double-lumen tubes all have cuffed endobronchial portions and tracheal cuffs. The endobronchial parts are curved to the left or right. They are passed blindly and their position should be confirmed bronchoscopically. The main disadvantage of right sided tubes concerns the short length of the right main bronchus before giving off the upper lobe bronchus (risk of occlusion). Thus, left-sided tubes are usually preferred, even for right-sided surgery, because of the risk of inadequate ventilation of the right upper lobe if incorrectly positioned.

Indications for one-lung ventilation

The indications for one-lung ventilation (OLV) are divided into two groups: absolute and relative. The decision to use an endobronchial blocker is clinical and should be based on a consideration of risk versus benefit. Double-lumen tubes and endobronchial blockers function differently. Double-lumen endotracheal tubes isolate ventilation, separating the right and left pulmonary units using two separate endotracheal tubes. An endobronchial blocker blocks ventilation to a pulmonary segment. Endobronchial blockers are balloon-tipped catheters that are placed in the portion of the trachea that is to be blocked (usually the right or left main stem bronchus). Ventilation to the pulmonary unit is blocked when the balloon is inflated. Endobronchial blockers are a preferable choice for patients optimally managed with single-lumen endotracheal tubes rather than conventional double-lumen tubes.

Left right sided Double lumen endobronchial tube is a type of endotracheal tube which is used in tracheal intubation during thoracic surgery and other medical conditions, to achieve the selective one sided ventilation of either the right or the left lung.

There are several conditions that may make one-sided lung ventilation necessary. Absolute indications include separation of the right from the left lung to avoid spillage of blood or pus from an infected or bleeding side to the unaffected side. Relative indications include the collapsing of one lung and the selective ventilation of the remaining lung in order to facilitate exposure of the anatomical structures to be operated on in thoracic surgeries such as the repair of a thoracic aortic aneurysm, pneumonectomy or lobectomy.