Robertshaw tube
Pronunciation: ROB-ert-shaw
A double-lumen endotracheal tube designed for lung isolation, rarely used in pediatric patients due to size limitations.
Full Definition
The Robertshaw tube is a double-lumen endotracheal tube with separate lumens for each lung, allowing independent ventilation or lung isolation. In pediatric anesthesia, these tubes are generally limited to adolescents due to the smallest manufactured size being 26 French. For younger children requiring lung isolation, alternative techniques such as bronchial blockers, single-lumen tubes with selective bronchial intubation, or Univent tubes are preferred. The decision to use a Robertshaw tube in pediatrics requires careful consideration of airway anatomy and surgical requirements.
Usage
Usage note: Consider patient size and alternative lung isolation methods before selecting a Robertshaw tube in pediatric cases.
In Context
- "The 16-year-old patient was deemed too small for a Robertshaw tube, necessitating bronchial blocker placement." — Thoracic surgery consultation
- "Robertshaw tube placement requires careful positioning verification with fiberoptic bronchoscopy in pediatric patients." — Anesthesia procedure note