The RIGHT SIDED DOUBLE LUMEN TUBE (RDLT)
The LEFT sided DLT is commonly used though there are a select group of patients that would require a RIGHT DLT.
Because of the variation in origin of the bronchus to the Right Upper Lobe insertion of the Right DLT needs great care with verification using A fiber Optic Bronchoscope FOB
In most cases the Bronchus to the right upper lobe originates 1.5 - 2 cm from the Carina
The Curve and distal bronchial cuff incorporates a slot to accomodate ventilation of the Right Upper lobe.
INDICATIONS FOR RIGHT SIDED DOUBLE LUMEN TUBE
The LEFT sided DLT is commonly used. However there are a select group of patients requiring Right sides DLTs
A. DISTORTED ANATOMY AT THE ENTRANCE OF THE LEFT MAIN STEM BRONCHUS
- Tumour
- Aortic Aneurysm
B. SURGERY INVOLVING LEFT MAIN STEM BRONCHUS
- Left Lung Transplantation
- Left-Sided Tracheo-bronchial disruption
- Left Sided Pneumonectomy
- Left Sided Sleeve Resection
