Page 10 - CASA Bulletin of Anesthesiology 2022; 9(2) (5)

CASA Bulletin of Anesthesiology

The History of Double-Lumen Tube

2
Manxu Zhao, MD , Henry Liu, MD
1
1 Department of Anesthesiology
Cedar-Sinai Medical Center
8700 Beverly Boulevard
Los Angeles, CA 90048, USA
2 Department of Anesthesiology and Critical Care
Perelman School of Medicine
Hospital of the University of Pennsylvania
3401 Spruce Street
Philadelphia, PA 19104, USA

Correspondence to:
Manxu Zhao, MD
Department of Anesthesiology
8700 Beverly Boulevard
Los Angeles, CA 90048
USA
Email: mxtzhao@yahoo.com

Abstract Dr. Manxu Zhao

Airway management is a landmark of medical modernization.
Lung isolation with double-lumen tube is a critical development
in thoracic surgery. Lung isolation can be achieved with various
equipment in current anesthesia practice. The techniques for lung
isolation have been evolving for the last century. This article
briefly reviewed the history of Double-lumen tube and its
importance in thoracic surgery. Newer and better technology will
be developed and integrated into anesthetic management in the
future.

Key words

Airway, Double lumen tube, Lung isolation, Bronchial blocker

The history of first airway management probably goes back to the year of 1543 when Belgian
anatomist Andreas Vesalius performed a preliminary tracheotomy on a pig with reed or cane as a
tube placed into the trachea and artificially ventilated by blowing down the tube. After slow
advancement over the next 300 years, simultaneous developments in equipment and techniques
facilitated evolution of the double lumen tube accompanying thoracic surgery and anesthesia
advancement.

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