title: Double-lumen tube for ventilation in severe kyphoscoliosis.
abstract: The presence of kyphoscoliosis can adversely affect gas exchange because of restriction to gas flow and reduction of lung volume. The effects become more exaggerated during positive-pressure ventilation due to the uneven distribution of ventilation. The use of a double-lumen tube helps to reduce the ventilation perfusion mismatch that occurs because of positive-pressure ventilation. We report a patient with severe kyphoscoliosis who underwent repair of an atrial septal defect, in whom a double-lumen tube was used for ventilation and the conduct of general anesthesia.
authors.affiliation: Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India.
authors.forename: Pankaj
authors.initials: P
authors.lastname: Kundra
authors.forename: Anita
authors.initials: A
authors.lastname: Joseph
authors.forename: Senthil
authors.initials: S
authors.lastname: Kumar
authors.forename: B V
authors.initials: BV
authors.lastname: Sai Chandran
mesh_terms: D000293:Adolescent; D000465:Algorithms; D001784:Blood Gas Analysis; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control*; D007442:Intubation, Intratracheal / Q000379:methods*; D007738:Kyphosis / Q000150:complications*; D011175:Positive-Pressure Respiration / Q000295:instrumentation*; D011859:Radiography; D012129:Respiratory Function Tests; D012600:Scoliosis / Q000150:complications* / Q000000981:diagnostic imaging