{"id":807,"date":"2026-01-22T11:08:59","date_gmt":"2026-01-22T11:08:59","guid":{"rendered":"https:\/\/wellmedicalindonesia.com\/?p=807"},"modified":"2026-01-26T06:39:26","modified_gmt":"2026-01-26T06:39:26","slug":"double-lumen-endobronchial-tube","status":"publish","type":"post","link":"https:\/\/wellmedicalindonesia.com\/?p=807","title":{"rendered":"Double Lumen Endobronchial Tube"},"content":{"rendered":"

Double Lumen Endobronchial Tube (DLT)<\/b> adalah tabung endotrakeal khusus yang memiliki dua lumen terpisah dalam satu tube, masing-masing digunakan untuk ventilasi paru kanan dan paru kiri secara independen. <\/span>Double Lumen Endobronchial Tube memungkinkan isolasi satu paru (one-lung ventilation\/OLV) dengan cara memventilasi satu paru sementara paru lainnya dikolapskan. Double Lumen Endobronchial Tube paling sering digunakan pada saat operasi toraks.<\/span><\/p>\n\n\n\n
Fitur utama:\u00a0<\/strong><\/p>\n
    \n
  1. Terbuat dari PVC kualitas medis<\/span><\/li>\n
  2. Tersedia tipe sisi kiri dan sisi kanan<\/span><\/li>\n
  3. Kode warna pada kedua cuff dan lumen serta pilot balloon: trakeal (putih) dan bronkial (biru)<\/span><\/li>\n
  4. Tanda lingkaran radiopak berwarna hitam tersedia pada cuff trakeal dan cuff bronkial<\/span><\/li>\n
  5. Konektor saklar (switch connector) dan dua buah kateter suction dikemas sebagai satu set (kit)<\/span><\/li>\n<\/ol>\n<\/td>\n
\"\"<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Indikasi penggunaan Double Lumen Endobronchial Tube:<\/b><\/p>\n

    \n
  1. Ventilasi satu paru dan isolasi paru<\/span><\/li>\n
  2. Bedah toraks (thorakotomi, VATS, lobektomi, pneumonektomi)<\/span><\/li>\n
  3. Bedah esofagus dan aorta torakalis<\/span><\/li>\n
  4. Operasi jantung tertentu<\/span><\/li>\n
  5. Perdarahan paru unilateral<\/span><\/li>\n
  6. Infeksi paru unilateral berat<\/span><\/li>\n
  7. Bronchopleural fistula<\/span><\/li>\n
  8. Trauma paru satu sisi<\/span><\/li>\n
  9. Kontaminasi satu paru (misalnya aspirasi)<\/span><\/li>\n<\/ol>\n

    Kelebihan dan Kekurangan:<\/b><\/p>\n

    Kelebihan:<\/p>\n

      \n
    1. Isolasi paru paling efektif dan andal<\/span><\/li>\n
    2. Kontrol ventilasi tiap paru secara independen<\/span><\/li>\n
    3. Memungkinkan suction masing-masing paru<\/span><\/li>\n
    4. Mengurangi risiko kontaminasi silang<\/span><\/li>\n
    5. Standar emas untuk one-lung ventilation<\/span><\/li>\n
    6. Tidak memerlukan bronkial blocker tambahan<\/span><\/li>\n<\/ol>\n

      Kekurangan:<\/p>\n

        \n
      1. Pemasangan lebih sulit dibanding Endotracheal Tube biasa<\/span><\/li>\n
      2. Risiko trauma trakea atau bronkus lebih tinggi, hipoksemia atau malposisi tabung<\/span><\/li>\n
      3. Diameter besar \u2192 kurang cocok untuk jalan napas sempit<\/span><\/li>\n
      4. Membutuhkan pengalaman dan alat (fiberoptic bronchoscopy)<\/span><\/li>\n
      5. Tidak ideal untuk intubasi emergensi cepat<\/span><\/li>\n
      6. Posisi mudah berubah saat reposisi pasien<\/span><\/li>\n<\/ol>\n
          <\/ol>\n

          Langkah penggunaan Double Lumen Endobronchial Tube (DLT)<\/b>:<\/span><\/p>\n

            \n
          1. Pilih ukuran Double Lumen Endobronchial Tube sesuai tinggi badan\/jenis kelamin pasien<\/span><\/li>\n
          2. Lakukan intubasi seperti Endotracheal tube biasa hingga melewati pita suara<\/span><\/li>\n
          3. Putar Double Lumen Endobronchial Tube 90\u00b0 ke kiri untuk left DLT<\/span><\/li>\n
          4. Masukkan hingga kedalaman yang sesuai<\/span><\/li>\n
          5. Kembangkan cuff trakeal dan bronkial<\/span><\/li>\n
          6. Konfirmasi posisi (auskultasi bilateral, fiberoptic bronchoscopy sebagai gold standard)<\/span><\/li>\n
          7. Atur ventilasi (dua paru atau satu paru\/OLV)<\/span><\/li>\n
          8. Fiksasi tube dengan baik<\/span><\/li>\n<\/ol>\n

            \u26a0\ufe0f Catatan: Posisi DLT mudah bergeser, evaluasi ulang setelah perubahan posisi pasien.<\/span><\/p>\n

            Jenis dan spesifikasi:<\/strong><\/google-sheets-html-origin><\/p>\n\n\n\n\n<\/colgroup>\n\n\n\n\n\n\n\n\n\n
            Size<\/strong><\/td>\nLeft-sided<\/strong><\/td>\nRight-sided<\/strong><\/td>\n<\/tr>\n
            Fr<\/strong><\/td>\nItem No.\/Cat. No.<\/strong><\/td>\nItem No.\/Cat. No.<\/strong><\/td>\n<\/tr>\n
            28<\/td>\nEC120128EL<\/td>\nEC120128ER<\/td>\n<\/tr>\n
            32<\/td>\nEC120132EL<\/td>\nEC120132ER<\/td>\n<\/tr>\n
            35<\/td>\nEC120135EL<\/td>\nEC120135ER<\/td>\n<\/tr>\n
            37<\/td>\nEC120137EL<\/td>\nEC120137ER<\/td>\n<\/tr>\n
            39<\/td>\nEC120139EL<\/td>\nEC120139ER<\/td>\n<\/tr>\n
            41<\/td>\nEC120141EL<\/td>\nEC120141ER<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

            Double Lumen Endobronchial Tube (DLT) adalah tabung endotrakeal khusus yang memiliki dua lumen terpisah dalam satu tube, masing-masing digunakan untuk ventilasi paru kanan dan paru kiri secara independen. Double Lumen Endobronchial Tube memungkinkan isolasi satu paru (one-lung ventilation\/OLV) dengan cara memventilasi satu paru sementara paru lainnya dikolapskan. Double Lumen Endobronchial […]<\/p>\n","protected":false},"author":1,"featured_media":809,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-807","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-produk"],"_links":{"self":[{"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/posts\/807","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=807"}],"version-history":[{"count":8,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/posts\/807\/revisions"}],"predecessor-version":[{"id":967,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/posts\/807\/revisions\/967"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=\/wp\/v2\/media\/809"}],"wp:attachment":[{"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=807"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=807"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wellmedicalindonesia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=807"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}