ENDOBRONCHIAL TUBES AND BLOCKERS

Question 1

what are some thoracic surgeries that would require EBT?

Answer 1

lungs (segmental resection, lobectomy, pneumonectomy)

bronchi (resection, repair)

pulmonary vessels

chest wall

Question 2

what are some non-thoracic surgeries that would require an EBT?

Answer 2

spine

vascular (aorta)

GI (esophagus, GE junction)

bronchopulmonary lavage

Question 3

name 3 patient-related indications that would require one-lung isolation/ unilateral support (oxygenation/ventilation)

Answer 3

confine infection to one lung

confine hemorrhage to one lung

unilateral ventilation/support for parenchymal diseases

Question 4

name a disease/trauma that causes an interuption in airways requiring an EBT?

Answer 4

bronchopleural fistula

Question 5

name two methods of EBT placement confirmation

Answer 5

visual – FFOB

nonviz – ausculatory

Question 6

definition: conventional ETT with integrated bronchial blocker

Answer 6

univent

Question 7

the univent has how many lumens?

Answer 7

two

Question 8

describe the proximal end of the univent EBT

Answer 8

15mm circuit connector, ETT cuff inflation system, blocker port

Question 9

name the EBT device that includes a specialized connector that fits over a conventional ETT

Answer 9

Arndt endobronchial blocker (Cook)

Question 10

which EBB device has a loop on its distal end that is advanced over an FFOB for correct placement?

Answer 10

arndt endobronchial blocker (cook)

Question 11

which EBB device has a bifurcated (y-shaped) distal end that is positioned and confirmed with FFOB?

Answer 11

rusch EZ-blocker endobronchial blocker

Question 12

what tidal volume is recommended for OLV?

Answer 12

6ml/kg