Independent lung ventilation: Implementation strategies and review of literature

Table 1 Indications for independent lung ventilation[32]

Massive hemoptysis[6,19]

Pneumonia[1-3,17]

Aspiration

Single lung transplantation with graft dysfunction[5,21]

Bronchopleural fistula[3,6,18]

Lung contusion[3,31]

Copious infected secretions in one lung (e.g., lung abscess)

Unilateral pulmonary edema[4]

Table 2 Criteria favoring transitioning from double lumen tube to single lumen tube[11,31]

Near complete or complete resolution of the disease process- clinically or radiologically

Difference in tidal volume between the two lungs < 100 cc

Difference in compliance between the two lungs < 20%

Difference in end tidal carbon dioxide concentration between the two lungs < 20%