Cpap to the down lung

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Broncho-Cath™ Endobronchial Tubes With CPAP System

Or, remembering that PEEP = CPAP if there is no flow in and out, you can hook up a transport or ambu bag with adjustable PEEP to the down lung and adjust PEEP to desired level.

Hope that helps.

- pod
 
You too, periopdoc. You're a friggin' stud as well. Always enjoy reading your posts. Hand-job for you, too.

-copro
 
Take an O2 nasal cannula - cut out the nasal prongs. Tie a knot in one of the remaining lumens. The other can stick in the bronch port at the end of the operative-lung bronchocath lumen. Hook it to your O2 flowmeter, and just turn it on 1-2 lpm. Make sure the nasal cannula lumen does not fully occlude the hole in the bronch port or you'll blow up the lung right in the surgeon's face.
 
Take an O2 nasal cannula - cut out the nasal prongs. Tie a knot in one of the remaining lumens. The other can stick in the bronch port at the end of the operative-lung bronchocath lumen. Hook it to your O2 flowmeter, and just turn it on 1-2 lpm. Make sure the nasal cannula lumen does not fully occlude the hole in the bronch port or you'll blow up the lung right in the surgeon's face.

Nice and simple. KISS
 
Take an O2 nasal cannula - cut out the nasal prongs. Tie a knot in one of the remaining lumens. The other can stick in the bronch port at the end of the operative-lung bronchocath lumen. Hook it to your O2 flowmeter, and just turn it on 1-2 lpm. Make sure the nasal cannula lumen does not fully occlude the hole in the bronch port or you'll blow up the lung right in the surgeon's face.
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How would you monitor the pressure? Or is that my ICU brain trying to think in the OR?
 
You don't. You control the flow and the leak, titrate to surgeon's field.

Don't be afraid to get all MacGruber in the OR.

Exactly - just a handful of O2 molecules seems to make a difference. Now if you really don't like your surgeon, you can crank it up all you want. 😉
 
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