Common double-lumen tube selection methods overestimate adequate tube sizes in individual patients - a 3D reconstruction study.

ABSTRACT:

Background

Appropriate selection of double-lumen tube sizes for one-lung ventilation is crucial to prevent airway damage. Current selection methods rely on demographic factors or 2D radiography. Prediction of left bronchial diameter is indispensable for choosing the adequate tube size. This prospective observational study investigates if current selection methods sufficiently predict individuals' left bronchial diameters for DLT selection compared to the 3D reconstruction.

Methods

100 patients necessitating thoracic surgery with one-lung ventilation and left-sided double-lumen tubes, ≥ 18 years of age, and a set of chest X-rays and 2D thorax CT scans for 3D reconstruction of the left main bronchus were included between 07/2021 and 06/2023. The cross-validated prediction erro

SUBMITTER: Mihatsch LL 

PROVIDER: S-EPMC11218118 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature