FOB-guided mainstem for VATS?

[SoCalAnesthesia]

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In peds this is done frequently. Have you ever tried it in an adult in whom DLT placement was difficult?

 

[Jeff05]

why not just use a blocker?

 

[ecCA1]

not available? not familiar with its use?

 

[rsgillmd]

In peds this is done frequently. Have you ever tried it in an adult in whom DLT placement was difficult?

For what peds VATS cases have you done this? What age range?

The handful of peds VATS cases I did were decortications. I used 2 lung ventilation with lower tidal volumes -- occasionally was asked to hold ventilation. Granted these were on kids around 4 years old. I have not done a VATS on an infant.

 

[urge]

In peds this is done frequently. Have you ever tried it in an adult in whom DLT placement was difficult?

Difficult meaning what? Cannot get it thru the cords or cannot get it to go to left mainstem?

Anyway, no. Have not had a DLT I wasn't able to place.

 

[militarymd]

In peds this is done frequently. Have you ever tried it in an adult in whom DLT placement was difficult?

I have...because the patient was tubed already....I didn't want to bother with changing out the tube...so I just shoved it in to the R main stem position.

Worked great.