Purpose Of Review: The diagnostic and therapeutic use of radiation modalities is an integral part of cancer care that is being used more frequently. Organization and planning for anesthesia out of the operating room poses many challenges that are addressed in this review.
Recent Findings: Anesthesia providers are called upon to enable radiologists to accomplish a variety of procedures that are not possible without anesthesia intervention.
Background: Some anesthesiologists choose smaller than body size-appropriate left sided double-lumen tubes (DLTs) ("down-size") for lung isolation in an attempt to limit the risk of airway trauma. There are few data on the effects of DLT size on intraoperative outcome measures.
Methods: In 300 adults undergoing thoracic surgery requiring lung isolation, we conducted a prospective pilot study to evaluate whether the use of 35 FR DLT, regardless of gender and/or height (care standard of two investigators), was associated with a similar incidence of intraoperative hypoxemia, lung isolation failure, or need for DLT repositioning during surgery (noninferiority) than with the conventional goal of inserting the largest possible DLT (care standard of two other investigators).