Differential lung ventilation in the critical care setting

doi:N/A

eISSN: None / ISSN: None

Netharland Journal of Critical Care

2016, Volume 24, Issue 1 : 29-30

Letter

Differential lung ventilation in the critical care setting

Zoethout R.W.M.

Bosman R.J.

Zandstra D.F.

van der Voort P.H.J.

Abstract

Endotracheal double-lumen tubes (DLTs) are used for tracheal intubation to achieve separate ventilation of the lungs and are frequently used during thoracic surgery to allow single-lung ventilation. On the intensive care unit (ICU), DLTs are used when differential lung ventilation (DLV) is indicated. DLV in critical care is a rescue ventilation strategy in which both lungs can be ventilated separately in patients with critical unilateral lung disease. Indications for DLV in critical care medicine seem less well defined compared with their use in thoracic anaesthesia, but may include massive haemoptysis, unilateral parenchymal injury or bronchopleural fistula. © 2016, Netherlands Society of Intensive Care. All rights reserved.

Keywords

Critical care

Differential lung ventilation

Double lumen tube

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