Railroading technique: A faster, easier, and definitive method for Double Lumen Tube (DLT) placement

Authors

  • K Senthil Kumar HOD Anaesthesiology & Toxicology, Kauvery Hospitals, Trichy
  • S Khaja Mohideen Senior consultant - Anaesthesiologist, Kauvery Hospitals, Trichy
  • P Sasi Kumar Senior consultant -Anaesthesiologist, Kauvery Hospitals, Trichy
  • J Sivagurunathan Consultant - Anaesthesiologist, Kauvery Hospitals, Trichy

Keywords:

Double lumen tube, DLT, One lung ventilation, Lung isolation, Railroad technique

Abstract

This article evaluates a novel "railroading" technique for placing double-lumen tubes (DLTs). This method, which uses a fiberoptic bronchoscope as a guide, demonstrated significantly faster insertion times and a higher first-attempt success rate compared to the conventional DLT placement method in patients undergoing thoracic surgery. The paper concludes that the railroading technique is a superior method, enhancing patient safety, improving procedural efficiency, and streamlining operating room workflow.

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Published

2025-11-08

How to Cite

K Senthil Kumar, S Khaja Mohideen, P Sasi Kumar, & J Sivagurunathan. (2025). Railroading technique: A faster, easier, and definitive method for Double Lumen Tube (DLT) placement. Kauverian Medical Journal, 3(1), 52–56. Retrieved from http://kauverianjournal.com/index.php/research/article/view/199

Issue

Vol. 3 No. 1 (2025): November

Section

Articles