Abstract

There continues to be significant variation in double-lumen tube (DLT) size selection among anaesthesiologists for thoracic surgery. Advocates for placing the largest possible DLT argue that smaller DLTs have a greater risk of dislodgement and of bronchial mucosal injury. Advocates for smaller DLTs argue that they are easier to place and are not definitively associated with airway trauma. DLT size is commonly selected using patient height and sex, but can also be chosen by radiographic airway measurements. A previous pilot study with 300 patients at our institution found no difference in hypoxaemia, inadequate lung isolation, or need for DLT repositioning when using a smaller DLT. Given these findings, we sought to review whether DLT size was associated with hypoxaemia during one-lung ventilation (OLV) in a larger patient population.

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