Lung Isolation in Patients with Difficult Airways

Abstract

Recognition of a difficult airway prior to the use of lung isolation devices is essential. Radiological studies must be reviewed, including a posterior-anterior chest radiograph and computer tomography scan of the chest. Securing the airway first is a must in patients with difficult airways requiring lung isolation. The use of an independent bronchial blocker is the first-line choice in patients with difficult airways who require lung isolation. The use of the airway exchange catheter is recommended during placement of double-lumen endotracheal tubes in patients with difficult airways.