Assemble equipment for airway manipulation and intubation.
A. Assemble equipment including appropriately sized DLT (Table 7-1) B. Explain the procedure to the patient. Confirm MSMAIDS mnemonic. After confirming normal stable vital signs, proceed with induction (see Induction of Anesthesia cognitive aid). Place the patient in the proper “sniffing position.”
Table 7-1
Guidelines for Left-Double Lumen Tube Selection
Manufacturer: M, Mallinckrodt (St. Louis, MO); P, Portex (Keene, NH); R, Rusch (Duluth, GA);S, Sheridan (Argyle, NY).
- Perform direct laryngoscopy under ideal intubating conditions.
- Advance DLT into the airway. Stop when blue cuff passes vocal cords.