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Many procedures that are not considered to represent absolute indications for lung separation are lengthy and complex.
Complex lung resection, with or without chest wall resection, thoracoabdominal esophagogastrectomy, thoracic aortic aneurysm resection with or without total circulatory arrest, or an where To Buy Cheap Dutasteride vertebral cheap Topamax resection, may result in facial edema, secretion, and hemoptysis, requiring postoperative ventilatory support. Other indications for postoperative ventilatory support are marginal respiratory reserve, unexpected blood loss or fluid shift, hypothermia, and inadequate reversal of residual neuromuscular blockade. In addition, it is more difficult to suction through the lumens, and a longer, narrower suction catheter is needed to reach the tip of the endobronchial lumen.
Alternatively, the tube exchange may be performed under direct vision using one of several commercially available video laryngoscopes, such as the GlideScope Verathon Medical, C-Mac Karl Storz, or the Mc Grath Aircraft Medical see Chapter 28.
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