Sequential rotation to insert a left double-lumen endotracheal tube using the GlideScope.

摘要

The GlideScope~R videolaryngoscope (GVL) (Verathon, Bothell, WA, USA) allows the glottic opening to be visualized easily. However, it poses difficulties when double-lumen endotracheal tubes (DLT) are advanced into the trachea. This suggests that the traditional method of advancing the DLT may be insufficient if used with the GVL. A combination of several factors can decrease the operator's ability to manipulate this tube proficiently, including the complex shape of the DLT, the angulation of the GVL blade, and the indirect viewing of the airway.