What would you think was a high enough end tidal sevoflurane level?
It depends very much on the age of the patient. With a young patient like this 20 year old I would want at least 1 ½ MAC of sevoflurane with slow diaphragmatic respiration and convergent small pupils. Now you want to isolate the lung and you’ve mentioned a double lumen tube. Are there alternatives to a double lumen tube you can use to achieve that? Yes you can use a normal single lumen tube with a bronchial blocker, you can use a combi tube or you can railroad a single lumen tube down usually the right main bronchus. What is a combi tube? A combi tube is a normal looking ETT with a bronchial blocker built it. It goes down the external wall of the ETT rather than within the tube. That sounds pretty good. Why wouldn’t you use one of those? I’ve never used one of them. I understand they can be very difficult to use. You can use a double lumen tube? – I always find them pretty difficult! They’re all difficult but my first choice would be to use a double lumen tube. In principle what are th
