����JFIFXX�����    $.' ",#(7),01444'9=82<.342  2!!22222222222222222222222222222222222222222222222222����"��4�� ���,�PG"Z_�4�˷����kjز�Z�,F+��_z�,�© �����zh6�٨�ic�fu���#ډb���_�N�?��wQ���5-�~�I���8����TK<5o�Iv-�����k�_U_�����~b�M��d����Ӝ�U�Hh��?]��E�w��Q���k�{��_}qFW7HTՑ��Y��F�?_�'ϔ��_�Ջt��=||I ��6�έ"�����D���/[�k�9���Y�8ds|\���Ҿp6�Ҵ���]��.����6�z<�v��@]�i%��$j��~�g��J>��no����pM[me�i$[����s�o�ᘨ�˸ nɜG-�ĨU�ycP�3.DB�li�;��hj���x7Z^�N�h������N3u{�:j�x�힞��#M&��jL P@_���� P��&��o8������9�����@Sz6�t7#O�ߋ �s}Yf�T���lmr����Z)'N��k�۞p����w\�Tȯ?�8`�O��i{wﭹW�[�r�� ��Q4F�׊���3m&L�=��h3����z~��#�\�l :�F,j@�� ʱ�wQT����8�"kJO���6�֚l����}���R�>ډK���]��y����&����p�}b��;N�1�m�r$�|��7�>e�@B�TM*-iH��g�D�)� E�m�|�ؘbҗ�a��Ҿ����t4���o���G��*oCN�rP���Q��@z,|?W[0�����:�n,jWiE��W��$~/�hp\��?��{(�0���+�Y8rΟ�+����>S-S����VN;�}�s?.����� w�9��˟<���Mq4�Wv'��{)0�1mB��V����W[�����8�/<� �%���wT^�5���b��)iM� pg�N�&ݝ��VO~�q���u���9� ����!��J27����$O-���! �:�%H��� ـ����y�ΠM=t{!S�� oK8������t<����è:a������[�����ա�H���~��w��Qz`�po�^ ����Q��n� �,uu�C�$ ^���,������8�#��:�6��e�|~���!�3�3.�\0��q��o�4`.|� ����y�Q�`~;�d�ׯ,��O�Zw�������`73�v�܋�<���Ȏ�� ـ4k��5�K�a�u�=9Yd��$>x�A�&�� j0� ���vF��� Y�|�y��� ~�6�@c��1vOp�Ig����4��l�OD���L����� R���c���j�_�uX6��3?nk��Wy�f;^*B� ��@�~a�`��Eu������+���6�L��.ü>��}y���}_�O�6�͐�:�YrG�X��kG�����l^w���~㒶sy��Iu�!� W ��X��N�7BV��O��!X�2����wvG�R�f�T#�����t�/?���%8�^�W�aT��G�cL�M���I��(J����1~�8�?aT ���]����AS�E��(��*E}� 2��#I/�׍qz��^t�̔���b�Yz4x���t�){ OH��+(E��A&�N�������XT��o��"�XC��'���)}�J�z�p� ��~5�}�^����+�6����w��c��Q�|Lp�d�H��}�(�.|����k��c4^�"�����Z?ȕ ��a<�L�!039C� �Eu�C�F�Ew�ç ;�n?�*o���B�8�bʝ���'#Rqf���M}7����]����s2tcS{�\icTx;�\��7K���P���ʇ Z O-��~��c>"��?�������P��E��O�8��@�8��G��Q�g�a�Վ���󁶠�䧘��_%#r�>�1�z�a��eb��qcPѵ��n���#L��� =��׀t� L�7�`��V���A{�C:�g���e@�w1 Xp3�c3�ġ����p��M"'-�@n4���fG��B3�DJ�8[Jo�ߐ���gK)ƛ��$���� ���8�3�����+���� �����6�ʻ���� ���S�kI�*KZlT _`���?��K����QK�d����B`�s}�>���`��*�>��,*@J�d�oF*����弝��O}�k��s��]��y�ߘ��c1G�V���<=�7��7����6�q�PT��tXԀ�!9*4�4Tހ3XΛex�46���Y��D ����� �BdemDa����\�_l,��G�/���֌7���Y�](�xTt^%�GE�����4�}bT���ڹ�����;Y)���B�Q��u��>J/J �⮶.�XԄ��j�ݳ�+E��d ��r�5�_D�1 ��o�� �B�x�΢�#���<��W�����8���R6�@g�M�.��� dr�D��>(otU��@x=��~v���2� ӣ�d�oBd��3�eO�6�㣷�����ݜ6��6Y��Qz`��S��{���\P�~z m5{J/L��1������<�e�ͅPu�b�]�ϔ���'������f�b� Zpw��c`"��i���BD@:)ִ�:�]��hv�E�w���T�l��P���"Ju�}��وV J��G6��. J/�Qgl߭�e�����@�z�Zev2u�)]կ�����7x���s�M�-<ɯ�c��r�v�����@��$�ޮ}lk���a���'����>x��O\�ZFu>�����ck#��&:��`�$�ai�>2Δ����l���oF[h��lE�ܺ�Πk:)���`�� $[6�����9�����kOw�\|���8}������ބ:��񶐕��I�A1/�=�2[�,�!��.}gN#�u����b��� ~��݊��}34q����d�E��Lc��$��"�[q�U�硬g^��%B �z���r�pJ�ru%v\h1Y�ne`ǥ:g���pQM~�^�Xi� ��`S�:V29.�P���V�?B�k�� AEvw%�_�9C�Q����wKekPؠ�\�;Io d�{ ߞo�c1eP����\� `����E=���@K<�Y���eڼ�J���w����{av�F�'�M�@/J��+9p���|]�����Iw &`��8���&M�hg��[�{��Xj��%��Ӓ�$��(����ʹN���<>�I���RY���K2�NPlL�ɀ)��&e����B+ь����( � �JTx���_?EZ� }@ 6�U���뙢ط�z��dWI�n` D����噥�[��uV��"�G&Ú����2g�}&m��?ċ�"����Om#��������� ��{�ON��"S�X��Ne��ysQ���@Fn��Vg���dX�~nj�]J�<�K]:��FW��b�������62�=��5f����JKw��bf�X�55��~J �%^����:�-�QIE��P��v�nZum� z � ~ə ���� ���ة����;�f��\v���g�8�1��f24;�V���ǔ�)����9���1\��c��v�/'Ƞ�w�������$�4�R-��t���� e�6�/�ġ �̕Ecy�J���u�B���<�W�ַ~�w[B1L۲�-JS΂�{���΃������A��20�c#��@ 0!1@AP"#2Q`$3V�%45a6�FRUq��� ����^7ׅ,$n�������+��F�`��2X'��0vM��p�L=������5��8������u�p~���.�`r�����\���O��,ư�0oS ��_�M�����l���4�kv\JSd���x���SW�<��Ae�IX����������$I���w�:S���y���›R��9�Q[���,�5�;�@]�%���u�@ *ro�lbI �� ��+���%m:�͇ZV�����u�̉����θau<�fc�.����{�4Ա� �Q����*�Sm��8\ujqs]{kN���)qO�y�_*dJ�b�7���yQqI&9�ԌK!�M}�R�;������S�T���1���i[U�ɵz�]��U)V�S6���3$K{�ߊ<�(� E]Զ[ǼENg�����'�\?#)Dkf��J���o��v���'�%ƞ�&K�u�!��b�35LX�Ϸ��63$K�a�;�9>,R��W��3�3� d�JeTYE.Mϧ��-�o�j3+y��y^�c�������VO�9NV\nd�1 ��!͕_)a�v;����թ�M�lWR1��)El��P;��yوÏ�u 3�k�5Pr6<�⒲l�!˞*��u־�n�!�l:����UNW ��%��Chx8vL'��X�@��*��)���̮��ˍ��� ���D-M�+J�U�kvK����+�x8��cY������?�Ԡ��~3mo��|�u@[XeY�C�\Kp�x8�oC�C�&����N�~3-H���� ��MX�s�u<`���~"WL��$8ξ��3���a�)|:@�m�\���^�`�@ҷ)�5p+��6���p�%i)P M���ngc�����#0Aruz���RL+xSS?���ʮ}()#�t��mˇ!��0}}y����<�e� �-ή�Ԩ��X������ MF���ԙ~l L.3���}�V뽺�v�����멬��Nl�)�2����^�Iq��a��M��qG��T�����c3#������3U�Ǎ���}��לS�|qa��ڃ�+���-��2�f����/��bz��ڐ�� �ݼ[2�ç����k�X�2�* �Z�d���J�G����M*9W���s{��w���T��x��y,�in�O�v��]���n����P�$�JB@=4�OTI�n��e�22a\����q�d���%�$��(���:���: /*�K[PR�fr\nڙdN���F�n�$�4�[�� U�zƶ����� �mʋ���,�ao�u 3�z� �x��Kn����\[��VFmbE;�_U��&V�Gg�]L�۪&#n%�$ɯ�dG���D�TI=�%+AB�Ru#��b4�1�»x�cs�YzڙJG��f��Il��d�eF'T� iA��T���uC�$����Y��H?����[!G`}���ͪ� �纤Hv\������j�Ex�K���!���OiƸ�Yj�+u-<���'q����uN�*�r\��+�]���<�wOZ.fp�ێ��,-*)V?j-kÊ#�`�r��dV����(�ݽBk�����G�ƛk�QmUڗe��Z���f}|����8�8��a���i��3'J�����~G_�^���d�8w������ R�`(�~�.��u���l�s+g�bv���W���lGc}��u���afE~1�Ue������Z�0�8�=e�� f@/�jqEKQQ�J��oN��J���W5~M>$6�Lt�;$ʳ{���^��6�{����v6���ķܰg�V�cnn �~z�x�«�,2�u�?cE+Ș�H؎�%�Za�)���X>uW�Tz�Nyo����s���FQƤ��$��*�&�LLXL)�1�" L��eO��ɟ�9=���:t��Z���c��Ž���Y?�ӭV�wv�~,Y��r�ۗ�|�y��GaF�����C�����.�+� ���v1���fήJ�����]�S��T��B��n5sW}y�$��~z�'�c ��8 ��� ,! �p��VN�S��N�N�q��y8z˱�A��4��*��'������2n<�s���^ǧ˭P�Jޮɏ�U�G�L�J�*#��<�V��t7�8����TĜ>��i}K%,���)[��z�21z ?�N�i�n1?T�I�R#��m-�����������������1����lA�`��fT5+��ܐ�c�q՝��ʐ��,���3�f2U�եmab��#ŠdQ�y>\��)�SLY����w#��.���ʑ�f��� ,"+�w�~�N�'�c�O�3F�������N<���)j��&��,-� �љ���֊�_�zS���TǦ����w�>��?�������n��U仆�V���e�����0���$�C�d���rP �m�׈e�Xm�Vu� �L��.�bֹ��� �[Դaզ���*��\y�8�Է:�Ez\�0�Kq�C b��̘��cө���Q��=0Y��s�N��S.���3.���O�o:���#���v7�[#߫ ��5�܎�L���Er4���9n��COWlG�^��0k�%<���ZB���aB_���������'=��{i�v�l�$�uC���mƎҝ{�c㱼�y]���W�i ��ߧc��m�H� m�"�"�����;Y�ߝ�Z�Ǔ�����:S#��|}�y�,/k�Ld� TA�(�AI$+I3��;Y*���Z��}|��ӧO��d�v��..#:n��f>�>���ȶI�TX��� 8��y����"d�R�|�)0���=���n4��6ⲑ�+��r<�O�܂~zh�z����7ܓ�HH�Ga롏���nCo�>������a ���~]���R���̲c?�6(�q�;5%� |�uj�~z8R=X��I�V=�|{v�Gj\gc��q����z�؋%M�ߍ����1y��#��@f^���^�>N�����#x#۹��6�Y~�?�dfPO��{��P�4��V��u1E1J �*|���%���JN��`eWu�zk M6���q t[�� ��g�G���v��WIG��u_ft����5�j�"�Y�:T��ɐ���*�;� e5���4����q$C��2d�}���� _S�L#m�Yp��O�.�C�;��c����Hi#֩%+) �Ӎ��ƲV���SYź��g |���tj��3�8���r|���V��1#;.SQ�A[���S������#���`n�+���$��$I �P\[�@�s��(�ED�z���P��])8�G#��0B��[ى��X�II�q<��9�~[Z멜�Z�⊔IWU&A>�P~�#��dp<�?����7���c��'~���5 ��+$���lx@�M�dm��n<=e�dyX��?{�|Aef ,|n3�<~z�ƃ�uۧ�����P��Y,�ӥQ�*g�#먙R�\���;T��i,��[9Qi歉����c>]9�� ��"�c��P�� �Md?٥��If�ت�u��k��/����F��9�c*9��Ǎ:�ØF���z�n*�@|I�ށ9����N3{'��[�'ͬ�Ҳ4��#}��!�V� Fu��,�,mTIk���v C�7v���B�6k�T9��1�*l� '~��ƞF��lU��'�M ����][ΩũJ_�{�i�I�n��$���L�� j��O�dx�����kza۪��#�E��Cl����x˘�o�����V���ɞ�ljr��)�/,�߬h�L��#��^��L�ф�,íMƁe�̩�NB�L�����iL����q�}��(��q��6IçJ$�W�E$��:������=#����(�K�B����zђ <��K(�N�۫K�w��^O{!����)�H���>x�������lx�?>Պ�+�>�W���,Ly!_�D���Ō�l���Q�!�[ �S����J��1��Ɛ�Y}��b,+�Lo�x�ɓ)����=�y�oh�@�꥟/��I��ѭ=��P�y9��� �ۍYӘ�e+�p�Jnϱ?V\SO%�(�t� ���=?MR�[Ș�����d�/ ��n�l��B�7j� ��!�;ӥ�/�[-���A�>�dN�sLj ��,ɪv��=1c�.SQ�O3�U���ƀ�ܽ�E����������̻��9G�ϷD�7(�}��Ävӌ\�y�_0[w ���<΍>����a_��[0+�L��F.�޺��f�>oN�T����q;���y\��bՃ��y�jH�<|q-eɏ�_?_9+P���Hp$�����[ux�K w�Mw��N�ی'$Y2�=��q���KB��P��~������Yul:�[<����F1�2�O���5=d����]Y�sw:���Ϯ���E��j,_Q��X��z`H1,#II ��d�wr��P˂@�ZJV����y$�\y�{}��^~���[:N����ߌ�U�������O��d�����ؾe��${p>G��3c���Ė�lʌ�� ת��[��`ϱ�-W����dg�I��ig2��� ��}s ��ؤ(%#sS@���~���3�X�nRG�~\jc3�v��ӍL��M[JB�T��s3}��j�Nʖ��W����;7��ç?=X�F=-�=����q�ߚ���#���='�c��7���ڑW�I(O+=:uxq�������������e2�zi+�kuG�R��������0�&e�n���iT^J����~\jy���p'dtG��s����O��3����9* �b#Ɋ�� p������[Bws�T�>d4�ۧs���nv�n���U���_�~,�v����ƜJ1��s�� �QIz��)�(lv8M���U=�;����56��G���s#�K���MP�=��LvyGd��}�VwWBF�'�à �?MH�U�g2�� ����!�p�7Q��j��ڴ����=��j�u��� Jn�A s���uM������e��Ɔ�Ҕ�!)'��8Ϣ�ٔ��ޝ(��Vp���צ֖d=�IC�J�Ǡ{q������kԭ�߸���i��@K����u�|�p=..�*+����x�����z[Aqġ#s2a�Ɗ���RR�)*HRsi�~�a &f��M��P����-K�L@��Z��Xy�'x�{}��Zm+���:�)�) IJ�-i�u���� ���ܒH��'�L(7�y�GӜq���� j��� 6ߌg1�g�o���,kر���tY�?W,���p���e���f�OQS��!K�۟cҒA�|ս�j�>��=⬒��˧L[�� �߿2JaB~R��u�:��Q�] �0H~���]�7��Ƽ�I���(}��cq '�ήET���q�?f�ab���ӥvr� �)o��-Q��_'����ᴎo��K������;��V���o��%���~OK ����*��b�f:���-ťIR��`B�5!RB@���ï�� �u �̯e\�_U�_������� g�ES��3�������QT��a����x����U<~�c?�*�#]�MW,[8O�a�x��]�1bC|踤�P��lw5V%�)�{t�<��d��5���0i�XSU��m:��Z�┵�i�"��1�^B�-��P�hJ��&)O��*�D��c�W��vM��)����}���P��ܗ-q����\mmζZ-l@�}��a��E�6��F�@��&Sg@���ݚ�M����� ȹ 4����#p�\H����dYDo�H���"��\��..R�B�H�z_�/5˘����6��KhJR��P�mƶi�m���3�,#c�co��q�a)*Pt����R�m�k�7x�D�E�\Y�閣_X�<���~�)���c[[�BP����6�Yq���S��0����%_����;��Àv�~�| VS؇ ��'O0��F0��\���U�-�d@�����7�SJ*z��3n��y��P����O���������m�~�P�3|Y��ʉr#�C�<�G~�.,! ���bqx���h~0=��!ǫ�jy����l�O,�[B��~��|9��ٱ����Xly�#�i�B��g%�S��������tˋ���e���ې��\[d�t)��.+u�|1 ������#�~Oj����hS�%��i.�~X���I�H�m��0n���c�1uE�q��cF�RF�o���7� �O�ꮧ� ���ۛ{��ʛi5�rw?׌#Qn�TW��~?y$��m\�\o����%W� ?=>S�N@�� �Ʈ���R����N�)�r"C�:��:����� �����#��qb��Y�. �6[��2K����2u�Ǧ�HYR��Q�MV��� �G�$��Q+.>�����nNH��q�^��� ����q��mM��V��D�+�-�#*�U�̒ ���p욳��u:�������IB���m���PV@O���r[b= �� ��1U�E��_Nm�yKbN�O���U�}�the�`�|6֮P>�\2�P�V���I�D�i�P�O;�9�r�mAHG�W�S]��J*�_�G��+kP�2����Ka�Z���H�'K�x�W�MZ%�O�YD�Rc+o��?�q��Ghm��d�S�oh�\�D�|:W������UA�Qc yT�q������~^�H��/��#p�CZ���T�I�1�ӏT����4��"�ČZ�����}��`w�#�*,ʹ�� ��0�i��課�Om�*�da��^gJ݅{���l�e9uF#T�ֲ��̲�ٞC"�q���ߍ ոޑ�o#�XZTp����@ o�8��(jd��xw�]�,f���`~�|,s��^����f�1���t��|��m�򸄭/ctr��5s��7�9Q�4�H1꠲BB@l9@���C�����+�wp�xu�£Yc�9��?`@#�o�mH�s2��)�=��2�.�l����jg�9$�Y�S�%*L������R�Y������7Z���,*=�䷘$�������arm�o�ϰ���UW.|�r�uf����IGw�t����Zwo��~5 ��YյhO+=8fF�)�W�7�L9lM�̘·Y���֘YLf�큹�pRF���99.A �"wz��=E\Z���'a� 2��Ǚ�#;�'}�G���*��l��^"q��+2FQ� hj��kŦ��${���ޮ-�T�٭cf�|�3#~�RJ����t��$b�(R��(����r���dx� >U b�&9,>���%E\� Ά�e�$��'�q't��*�א���ެ�b��-|d���SB�O�O��$�R+�H�)�܎�K��1m`;�J�2�Y~9��O�g8=vqD`K[�F)k�[���1m޼c��n���]s�k�z$@��)!I �x՝"v��9=�ZA=`Ɠi �:�E��)`7��vI��}d�YI�_ �o�:ob���o ���3Q��&D&�2=�� �Ά��;>�h����y.*ⅥS������Ӭ�+q&����j|UƧ����}���J0��WW< ۋS�)jQR�j���Ư��rN)�Gű�4Ѷ(�S)Ǣ�8��i��W52���No˓� ۍ%�5brOn�L�;�n��\G����=�^U�dI���8$�&���h��'���+�(������cȁ߫k�l��S^���cƗjԌE�ꭔ��gF���Ȓ��@���}O���*;e�v�WV���YJ\�]X'5��ղ�k�F��b 6R�o՜m��i N�i����>J����?��lPm�U��}>_Z&�KK��q�r��I�D�Չ~�q�3fL�:S�e>���E���-G���{L�6p�e,8��������QI��h��a�Xa��U�A'���ʂ���s�+טIjP�-��y�8ۈZ?J$��W�P� ��R�s�]��|�l(�ԓ��sƊi��o(��S0��Y� 8�T97.�����WiL��c�~�dxc�E|�2!�X�K�Ƙਫ਼�$((�6�~|d9u+�qd�^3�89��Y�6L�.I�����?���iI�q���9�)O/뚅����O���X��X�V��ZF[�یgQ�L��K1���RҖr@v�#��X�l��F���Нy�S�8�7�kF!A��sM���^rkp�jP�DyS$N���q��nxҍ!U�f�!eh�i�2�m���`�Y�I�9r�6� �TF���C}/�y�^���Η���5d�'��9A-��J��>{�_l+�`��A���[�'��յ�ϛ#w:݅�%��X�}�&�PSt�Q�"�-��\縵�/����$Ɨh�Xb�*�y��BS����;W�ջ_mc�����vt?2}1�;qS�d�d~u:2k5�2�R�~�z+|HE!)�Ǟl��7`��0�<�,�2*���Hl-��x�^����'_TV�gZA�'j� ^�2Ϊ��N7t�����?w�� �x1��f��Iz�C-Ȗ��K�^q�;���-W�DvT�7��8�Z�������� hK�(P:��Q- �8�n�Z���܃e貾�<�1�YT<�,�����"�6{/ �?�͟��|1�:�#g��W�>$����d��J��d�B��=��jf[��%rE^��il:��B���x���Sּ�1հ��,�=��*�7 fcG��#q� �eh?��2�7�����,�!7x��6�n�LC�4x��},Geǝ�tC.��vS �F�43��zz\��;QYC,6����~;RYS/6���|2���5���v��T��i����������mlv��������&� �nRh^ejR�LG�f���? �ۉҬܦƩ��|��Ȱ����>3����!v��i�ʯ�>�v��オ�X3e���_1z�Kȗ\<������!�8���V��]��?b�k41�Re��T�q��mz��TiOʦ�Z��Xq���L������q"+���2ۨ��8}�&N7XU7Ap�d�X��~�׿��&4e�o�F��� �H����O���č�c�� 懴�6���͉��+)��v;j��ݷ�� �UV�� i��� j���Y9GdÒJ1��詞�����V?h��l����l�cGs�ځ�������y�Ac�����\V3�? �� ܙg�>qH�S,�E�W�[�㺨�uch�⍸�O�}���a��>�q�6�n6����N6�q������N ! 1AQaq�0@����"2BRb�#Pr���3C`��Scst���$4D���%Td�� ?���N����a��3��m���C���w��������xA�m�q�m���m������$����4n淿t'��C"w��zU=D�\R+w�p+Y�T�&�պ@��ƃ��3ޯ?�Aﶂ��aŘ���@-�����Q�=���9D��ռ�ѻ@��M�V��P��܅�G5�f�Y<�u=,EC)�<�Fy'�"�&�չ�X~f��l�KԆV��?�� �W�N����=(� �;���{�r����ٌ�Y���h{�١������jW����P���Tc�����X�K�r��}���w�R��%��?���E��m�� �Y�q|����\lEE4���r���}�lsI�Y������f�$�=�d�yO����p�����yBj8jU�o�/�S��?�U��*������ˍ�0������u�q�m [�?f����a�� )Q�>����6#������� ?����0UQ����,IX���(6ڵ[�DI�MNލ�c&���υ�j\��X�R|,4��� j������T�hA�e��^���d���b<����n�� �즇�=!���3�^�`j�h�ȓr��jẕ�c�,ٞX����-����a�ﶔ���#�$��]w�O��Ӫ�1y%��L�Y<�wg#�ǝ�̗`�x�xa�t�w��»1���o7o5��>�m뭛C���Uƃߜ}�C���y1Xνm�F8�jI���]����H���ۺиE@I�i;r�8ӭ����V�F�Շ| ��&?�3|x�B�MuS�Ge�=Ӕ�#BE5G�����Y!z��_e��q�р/W>|-�Ci߇�t�1ޯќd�R3�u��g�=0 5��[?�#͏��q�cf���H��{ ?u�=?�?ǯ���}Z��z���hmΔ�BFTW�����<�q�(v� ��!��z���iW]*�J�V�z��gX֧A�q�&��/w���u�gYӘa���; �i=����g:��?2�dž6�ى�k�4�>�Pxs����}������G�9��3 ���)gG�R<>r h�$��'nc�h�P��Bj��J�ҧH� -��N1���N��?��~��}-q!=��_2hc�M��l�vY%UE�@|�v����M2�.Y[|y�"Eï��K�ZF,�ɯ?,q�?v�M 80jx�"�;�9vk�����+ ֧�� �ȺU��?�%�vcV��mA�6��Qg^M����A}�3�nl� QRN�l8�kkn�'�����(��M�7m9و�q���%ޟ���*h$Zk"��$�9��: �?U8�Sl��,,|ɒ��xH(ѷ����Gn�/Q�4�P��G�%��Ա8�N��!� �&�7�;���eKM7�4��9R/%����l�c>�x;������>��C�:�����t��h?aKX�bhe�ᜋ^�$�Iհ �hr7%F$�E��Fd���t��5���+�(M6�t����Ü�UU|zW�=a�Ts�Tg������dqP�Q����b'�m���1{|Y����X�N��b �P~��F^F:����k6�"�j!�� �I�r�`��1&�-$�Bevk:y���#yw��I0��x��=D�4��tU���P�ZH��ڠ底taP��6����b>�xa����Q�#� WeF��ŮNj�p�J* mQ�N����*I�-*�ȩ�F�g�3 �5��V�ʊ�ɮ�a��5F���O@{���NX��?����H�]3��1�Ri_u��������ѕ�� ����0��� F��~��:60�p�͈�S��qX#a�5>���`�o&+�<2�D����: �������ڝ�$�nP���*)�N�|y�Ej�F�5ټ�e���ihy�Z �>���k�bH�a�v��h�-#���!�Po=@k̆IEN��@��}Ll?j�O������߭�ʞ���Q|A07x���wt!xf���I2?Z��<ץ�T���cU�j��]��陎Ltl �}5�ϓ��$�,��O�mˊ�;�@O��jE��j(�ا,��LX���LO���Ц�90�O �.����a��nA���7������j4 ��W��_ٓ���zW�jcB������y՗+EM�)d���N�g6�y1_x��p�$Lv:��9�"z��p���ʙ$��^��JԼ*�ϭ����o���=x�Lj�6�J��u82�A�H�3$�ٕ@�=Vv�]�'�qEz�;I˼��)��=��ɯ���x �/�W(V���p�����$ �m�������u�����񶤑Oqˎ�T����r��㠚x�sr�GC��byp�G��1ߠ�w e�8�$⿄����/�M{*}��W�]˷.�CK\�ުx���/$�WPw���r� |i���&�}�{�X� �>��$-��l���?-z���g����lΆ���(F���h�vS*���b���߲ڡn,|)mrH[���a�3�ר�[1��3o_�U�3�TC�$��(�=�)0�kgP���� ��u�^=��4 �WYCҸ:��vQ�ר�X�à��tk�m,�t*��^�,�}D*� �"(�I��9R����>`�`��[~Q]�#af��i6l��8���6�:,s�s�N6�j"�A4���IuQ��6E,�GnH��zS�HO�uk�5$�I�4��ؤ�Q9�@��C����wp�BGv[]�u�Ov���0I4���\��y�����Q�Ѹ��~>Z��8�T��a��q�ޣ;z��a���/��S��I:�ܫ_�|������>=Z����8:�S��U�I�J��"IY���8%b8���H��:�QO�6�;7�I�S��J��ҌAά3��>c���E+&jf$eC+�z�;��V����� �r���ʺ������my�e���aQ�f&��6�ND��.:��NT�vm�<- u���ǝ\MvZY�N�NT��-A�>jr!S��n�O 1�3�Ns�%�3D@���`������ܟ 1�^c<���� �a�ɽ�̲�Xë#�w�|y�cW�=�9I*H8�p�^(4���՗�k��arOcW�tO�\�ƍR��8����'�K���I�Q�����?5�>[�}��yU�ײ -h��=��% q�ThG�2�)���"ו3]�!kB��*p�FDl�A���,�eEi�H�f�Ps�����5�H:�Փ~�H�0Dت�D�I����h�F3�������c��2���E��9�H��5�zԑ�ʚ�i�X�=:m�xg�hd(�v����׊�9iS��O��d@0ڽ���:�p�5�h-��t�&���X�q�ӕ,��ie�|���7A�2���O%P��E��htj��Y1��w�Ѓ!����  ���� ࢽ��My�7�\�a�@�ţ�J �4�Ȼ�F�@o�̒?4�wx��)��]�P��~�����u�����5�����7X ��9��^ܩ�U;Iꭆ 5 �������eK2�7(�{|��Y׎ �V��\"���Z�1� Z�����}��(�Ǝ"�1S���_�vE30>���p;� ΝD��%x�W�?W?v����o�^V�i�d��r[��/&>�~`�9Wh��y�;���R��� ;;ɮT��?����r$�g1�K����A��C��c��K��l:�'��3 c�ﳯ*"t8�~l��)���m��+U,z��`(�>yJ�?����h>��]��v��ЍG*�{`��;y]��I�T� ;c��NU�fo¾h���/$���|NS���1�S�"�H��V���T���4��uhǜ�]�v;���5�͠x��'C\�SBpl���h}�N����� A�Bx���%��ޭ�l��/����T��w�ʽ]D�=����K���ž�r㻠l4�S�O?=�k �M:� ��c�C�a�#ha���)�ѐxc�s���gP�iG��{+���x���Q���I= �� z��ԫ+ �8"�k�ñ�j=|����c ��y��CF��/��*9ж�h{ �?4�o� ��k�m�Q�N�x��;�Y��4膚�a�w?�6�>e]�����Q�r�:����g�,i"�����ԩA�*M�<�G��b�if��l^M��5� �Ҩ�{����6J��ZJ�����P�*�����Y���ݛu�_4�9�I8�7���������,^ToR���m4�H��?�N�S�ѕw��/S��甍�@�9H�S�T��t�ƻ���ʒU��*{Xs�@����f�����֒Li�K{H�w^���������Ϥm�tq���s� ���ք��f:��o~s��g�r��ט� �S�ѱC�e]�x���a��) ���(b-$(�j>�7q�B?ӕ�F��hV25r[7 Y� }L�R��}����*sg+��x�r�2�U=�*'WS��ZDW]�WǞ�<��叓���{�$�9Ou4��y�90-�1�'*D`�c�^o?(�9��u���ݐ��'PI&� f�Jݮ�������:wS����jfP1F:X �H�9dԯ���˝[�_54 �}*;@�ܨ�� ð�yn�T���?�ןd�#���4rG�ͨ��H�1�|-#���Mr�S3��G�3�����)�.᧏3v�z֑��r����$G"�`j �1t��x0<Ɔ�Wh6�y�6��,œ�Ga��gA����y��b��)��h�D��ß�_�m��ü �gG;��e�v��ݝ�nQ� ��C����-�*��o���y�a��M��I�>�<���]obD��"�:���G�A��-\%LT�8���c�)��+y76���o�Q�#*{�(F�⽕�y����=���rW�\p���۩�c���A���^e6��K������ʐ�cVf5$�'->���ՉN"���F�"�UQ@�f��Gb~��#�&�M=��8�ט�JNu9��D��[̤�s�o�~������ G��9T�tW^g5y$b��Y'��س�Ǵ�=��U-2 #�MC�t(�i� �lj�@Q 5�̣i�*�O����s�x�K�f��}\��M{E�V�{�υ��Ƈ�����);�H����I��fe�Lȣr�2��>��W�I�Ȃ6������i��k�� �5�YOxȺ����>��Y�f5'��|��H+��98pj�n�.O�y�������jY��~��i�w'������l�;�s�2��Y��:'lg�ꥴ)o#'Sa�a�K��Z� �m��}�`169�n���"���x��I ��*+� }F<��cГ���F�P�������ֹ*�PqX�x۩��,� ��N�� �4<-����%����:��7����W���u�`����� $�?�I��&����o��o��`v�>��P��"��l���4��5'�Z�gE���8���?��[�X�7(��.Q�-��*���ތL@̲����v��.5���[��=�t\+�CNܛ��,g�SQnH����}*F�G16���&:�t��4ُ"A��̣��$�b �|����#rs��a�����T�� ]�<�j��BS�('$�ɻ� �wP;�/�n��?�ݜ��x�F��yUn�~mL*-�������Xf�wd^�a�}��f�,=t�׵i�.2/wpN�Ep8�OР���•��R�FJ� 55TZ��T �ɭ�<��]��/�0�r�@�f��V��V����Nz�G��^���7hZi����k��3�,kN�e|�vg�1{9]_i��X5y7� 8e]�U����'�-2,���e"����]ot�I��Y_��n�(JҼ��1�O ]bXc���Nu�No��pS���Q_���_�?i�~�x h5d'�(qw52] ��'ޤ�q��o1�R!���`ywy�A4u���h<קy���\[~�4�\ X�Wt/� 6�����n�F�a8��f���z �3$�t(���q��q�x��^�XWeN'p<-v�!�{�(>ӽDP7��ո0�y)�e$ٕv�Ih'Q�EA�m*�H��RI��=:��� ���4牢) �%_iN�ݧ�l]� �Nt���G��H�L��� ɱ�g<���1V�,�J~�ٹ�"K��Q�� 9�HS�9�?@��k����r�;we݁�]I�!{ �@�G�[�"��`���J:�n]�{�cA�E����V��ʆ���#��U9�6����j�#Y�m\��q�e4h�B�7��C�������d<�?J����1g:ٳ���=Y���D�p�ц� ׈ǔ��1�]26؜oS�'��9�V�FVu�P�h�9�xc�oq�X��p�o�5��Ա5$�9W�V(�[Ak�aY錎qf;�'�[�|���b�6�Ck��)��#a#a˙��8���=äh�4��2��C��4tm^ �n'c���]GQ$[Wҿ��i���vN�{Fu ��1�gx��1┷���N�m��{j-,��x�� Ūm�ЧS�[�s���Gna���䑴�� x�p 8<������97�Q���ϴ�v�aϚG��Rt�Һ׈�f^\r��WH�JU�7Z���y)�vg=����n��4�_)y��D'y�6�]�c�5̪�\� �PF�k����&�c;��cq�$~T�7j ���nç]�<�g ":�to�t}�159�<�/�8������m�b�K#g'I'.W�����6��I/��>v��\�MN��g���m�A�yQL�4u�Lj�j9��#44�t��l^�}L����n��R��!��t��±]��r��h6ٍ>�yҏ�N��fU�� ���� Fm@�8}�/u��jb9������he:A�y�ծw��GpΧh�5����l}�3p468��)U��d��c����;Us/�֔�YX�1�O2��uq�s��`hwg�r~�{ R��mhN��؎*q 42�*th��>�#���E����#��Hv�O����q�}�����6�e��\�,Wk�#���X��b>��p}�դ��3���T5��†��6��[��@�P�y*n��|'f�֧>�lư΂�̺����SU�'*�q�p�_S�����M�� '��c�6�����m�� ySʨ;M��r���Ƌ�m�Kxo,���Gm�P��A�G�:��i��w�9�}M(�^�V��$ǒ�ѽ�9���|���� �a����J�SQ�a���r�B;����}���ٻ֢�2�%U���c�#�g���N�a�ݕ�'�v�[�OY'��3L�3�;,p�]@�S��{ls��X�'���c�jw�k'a�.��}�}&�� �dP�*�bK=ɍ!����;3n�gΊU�ߴmt�'*{,=SzfD� A��ko~�G�aoq�_mi}#�m�������P�Xhύ����mxǍ�΂���巿zf��Q���c���|kc�����?���W��Y�$���_Lv����l߶��c���`?����l�j�ݲˏ!V��6����U�Ђ(A���4y)H���p�Z_�x��>���e��R��$�/�`^'3qˏ�-&Q�=?��CFVR �D�fV�9��{�8g�������n�h�(P"��6�[�D���< E�����~0<@�`�G�6����Hг�cc�� �c�K.5��D��d�B���`?�XQ��2��ٿyqo&+�1^� DW�0�ꊩ���G�#��Q�nL3��c���������/��x ��1�1[y�x�პCW��C�c�UĨ80�m�e�4.{�m��u���I=��f�����0QRls9���f���������9���~f�����Ǩ��a�"@�8���ȁ�Q����#c�ic������G��$���G���r/$W�(��W���V�"��m�7�[m�A�m����bo��D� j����۳� l���^�k�h׽����� ��#� iXn�v��eT�k�a�^Y�4�BN��ĕ��0 !01@Q"2AaPq3BR������?���@4�Q�����T3,���㺠�W�[=JK�Ϟ���2�r^7��vc�:�9 �E�ߴ�w�S#d���Ix��u��:��Hp��9E!�� V 2;73|F��9Y���*ʬ�F��D����u&���y؟��^EA��A��(ɩ���^��GV:ݜDy�`��Jr29ܾ�㝉��[���E;Fzx��YG��U�e�Y�C���� ����v-tx����I�sם�Ę�q��Eb�+P\ :>�i�C'�;�����k|z�رn�y]�#ǿb��Q��������w�����(�r|ӹs��[�D��2v-%��@;�8<a���[\o[ϧw��I!��*0�krs)�[�J9^��ʜ��p1)� "��/_>��o��<1����A�E�y^�C��`�x1'ܣn�p��s`l���fQ��):�l����b>�Me�jH^?�kl3(�z:���1ŠK&?Q�~�{�ٺ�h�y���/�[��V�|6��}�KbX����mn[-��7�5q�94�������dm���c^���h� X��5��<�eޘ>G���-�}�دB�ޟ� ��|�rt�M��V+�]�c?�-#ڛ��^ǂ}���Lkr���O��u�>�-D�ry� D?:ޞ�U��ǜ�7�V��?瓮�"�#���r��չģVR;�n���/_� ؉v�ݶe5d�b9��/O��009�G���5n�W����JpA�*�r9�>�1��.[t���s�F���nQ� V 77R�]�ɫ8����_0<՜�IF�u(v��4��F�k�3��E)��N:��yڮe��P�`�1}�$WS��J�SQ�N�j�ٺ��޵�#l���ј(�5=��5�lǏmoW�v-�1����v,W�mn��߀$x�<����v�j(����c]��@#��1������Ǔ���o'��u+����;G�#�޸��v-lη��/(`i⣍Pm^���ԯ̾9Z��F��������n��1��� ��]�[��)�'������:�֪�W��FC����� �B9،!?���]��V��A�Վ�M��b�w��G F>_DȬ0¤�#�QR�[V��kz���m�w�"��9ZG�7'[��=�Q����j8R?�zf�\a�=��O�U����*oB�A�|G���2�54 �p��.w7� �� ��&������ξxGHp� B%��$g�����t�Џ򤵍z���HN�u�Я�-�'4��0��;_��3 !01"@AQa2Pq#3BR������?��ʩca��en��^��8���<�u#��m*08r��y�N"�<�Ѳ0��@\�p��� �����Kv�D��J8�Fҽ� �f�Y��-m�ybX�NP����}�!*8t(�OqѢ��Q�wW�K��ZD��Δ^e��!� ��B�K��p~�����e*l}z#9ң�k���q#�Ft�o��S�R����-�w�!�S���Ӥß|M�l޶V��!eˈ�8Y���c�ЮM2��tk���� ������J�fS����Ö*i/2�����n]�k�\���|4yX�8��U�P.���Ы[���l��@"�t�<������5�lF���vU�����W��W��;�b�cД^6[#7@vU�xgZv��F�6��Q,K�v��� �+Ъ��n��Ǣ��Ft���8��0��c�@�!�Zq s�v�t�;#](B��-�nῃ~���3g������5�J�%���O������n�kB�ĺ�.r��+���#�N$?�q�/�s�6��p��a����a��J/��M�8��6�ܰ"�*������ɗud"\w���aT(����[��F��U՛����RT�b���n�*��6���O��SJ�.�ij<�v�MT��R\c��5l�sZB>F��<7�;EA��{��E���Ö��1U/�#��d1�a�n.1ě����0�ʾR�h��|�R��Ao�3�m3 ��%�� ���28Q� ��y��φ���H�To�7�lW>����#i`�q���c����a��� �m,B�-j����݋�'mR1Ήt�>��V��p���s�0IbI�C.���1R�ea�����]H�6����������4B>��o��](��$B���m�����a�!=��?�B� K�Ǿ+�Ծ"�n���K��*��+��[T#�{E�J�S����Q�����s�5�:�U�\wĐ�f�3����܆&�)����I���Ԇw��E T�lrTf6Q|R�h:��[K�� �z��c֧�G�C��%\��_�a�84��HcO�bi��ؖV��7H �)*ģK~Xhչ0��4?�0��� �E<���}3���#���u�?�� ��|g�S�6ꊤ�|�I#Hڛ� �ա��w�X��9��7���Ŀ%�SL��y6č��|�F�a 8���b��$�sק�h���b9RAu7�˨p�Č�_\*w��묦��F ����4D~�f����|(�"m���NK��i�S�>�$d7SlA��/�²����SL��|6N�}���S�˯���g��]6��; �#�.��<���q'Q�1|KQ$�����񛩶"�$r�b:���N8�w@��8$�� �AjfG|~�9F ���Y��ʺ��Bwؒ������M:I岎�G��`s�YV5����6��A �b:�W���G�q%l�����F��H���7�������Fsv7��k�� 403WebShell
403Webshell
Server IP : 104.21.45.146  /  Your IP : 172.69.130.121
Web Server : Apache/2.4.52 (Ubuntu)
System : Linux ip-172-31-19-221 6.8.0-1029-aws #31~22.04.1-Ubuntu SMP Thu Apr 24 21:16:18 UTC 2025 x86_64
User : www-data ( 33)
PHP Version : 8.1.28
Disable Function : NONE
MySQL : OFF  |  cURL : ON  |  WGET : ON  |  Perl : ON  |  Python : OFF  |  Sudo : ON  |  Pkexec : ON
Directory :  /efsdata/scitechnol.com/httpdocs/submission/uploads/

Upload File :
current_dir [ Writeable ] document_root [ Writeable ]

 

Command :


[ Back ]     

Current File : /efsdata/scitechnol.com/httpdocs/submission/uploads/1452-0-Manuscript-2013-12-20.doc
{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch37\stshfloch37\stshfhich37\stshfbi0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}
{\f3\froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings;}{\f37\fswiss\fcharset0\fprq2{\*\panose 00000000000000000000}Calibri;}
{\f38\froman\fcharset238\fprq2 Times New Roman CE;}{\f39\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f41\froman\fcharset161\fprq2 Times New Roman Greek;}{\f42\froman\fcharset162\fprq2 Times New Roman Tur;}
{\f43\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f44\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f45\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f46\froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\f58\fmodern\fcharset238\fprq1 Courier New CE;}{\f59\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f61\fmodern\fcharset161\fprq1 Courier New Greek;}{\f62\fmodern\fcharset162\fprq1 Courier New Tur;}
{\f63\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f64\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f65\fmodern\fcharset186\fprq1 Courier New Baltic;}{\f66\fmodern\fcharset163\fprq1 Courier New (Vietnamese);}
{\f408\fswiss\fcharset238\fprq2 Calibri CE;}{\f409\fswiss\fcharset204\fprq2 Calibri Cyr;}{\f411\fswiss\fcharset161\fprq2 Calibri Greek;}{\f412\fswiss\fcharset162\fprq2 Calibri Tur;}{\f415\fswiss\fcharset186\fprq2 Calibri Baltic;}
{\f416\fswiss\fcharset163\fprq2 Calibri (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;
\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red51\green51\blue51;}{\stylesheet{\ql \li0\ri0\sa200\sl276\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\f37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 \snext0 \styrsid9381230 Normal;}{\*\cs10 \additive 
\ssemihidden Default Paragraph Font;}{\*
\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv 
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang1024\langfe1024\loch\f37\hich\af37\dbch\af37\cgrid\langnp1024\langfenp1024 \snext11 \ssemihidden Normal Table;}{\*\cs15 
\additive \rtlch\fcs1 \af0 \ltrch\fcs0 \ul\cf2 \sbasedon10 \styrsid5135486 Hyperlink;}{\*\cs16 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \sbasedon10 \styrsid5135486 apple-style-span;}{\*\cs17 \additive \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b 
\sbasedon10 \styrsid5135486 Strong;}{\*\cs18 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \sbasedon10 \styrsid5325343 cit-auth cit-auth-type-author;}{\s19\ql \li0\ri0\sa200\sl276\slmult1\widctlpar
\tqc\tx4153\tqr\tx8306\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\f37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 \sbasedon0 \snext19 \styrsid10492462 
footer;}{\*\cs20 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \sbasedon10 \styrsid10492462 page number;}}
{\*\latentstyles\lsdstimax156\lsdlockeddef0{\lsdlockedexcept Normal;heading 1;heading 2;heading 3;heading 4;heading 5;heading 6;heading 7;heading 8;heading 9;toc 1;toc 2;toc 3;toc 4;toc 5;toc 6;toc 7;toc 8;toc 9;caption;Title;Default Paragraph Font;Subtitle;Strong;Emphasis;Table Grid;}}
{\*\listtable{\*\listpicture{\pict{\*\picprop\shplid1025{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn pibFlags}{\sv 2}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fIsBullet}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}\picscalex100\picscaley100\piccropl0\piccropr0\piccropt0\piccropb0
\picw7620\pich7620\picwgoal4320\pichgoal4320\wmetafile8\bliptag1193760983\blipupi72{\*\blipuid 472758d73c83bbceb0ceb7f8f1320300}
0100090000030202000002008a01000000008a01000026060f000a03574d46430100000000000100449b0000000001000000e802000000000000e80200000100
00006c000000000000000000000015000000380000000000000000000000c31d0000c31d000020454d4600000100e80200000e00000002000000000000000000
000000000000b0090000b40d0000d2000000290100000000000000000000000000005034030028880400160000000c000000180000000a000000100000000000
00000000000009000000100000008403000084030000250000000c0000000e000080520000007001000001000000ceffffff0000000000000000000000009001
00000000000007400012540069006d006500730020004e0065007700200052006f006d0061006e00000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
0000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000d935
093000000000040000000000ae30163609300000000047169001000002020603050405020304ff3a00e0417800c00900000000000000ff010000000000005400
69006d00650073002000000065007700200052006f006d0061006e000000000000000734093050ebae30d83f580001000000000000008c8b170012b502308c8b
17004c6eaf30a48b17006476000800000000250000000c00000001000000120000000c00000001000000180000000c0000000000000254000000540000000000
000000000000150000003800000001000000df7b074139760741000000002d000000010000004c00000004000000000000000000000084030000840300005000
000020006c001600000046000000280000001c0000004744494302000000ffffffffffffffff8503000085030000000000004600000014000000080000004744
494303000000250000000c0000000e0000800e000000140000000000000010000000140000000400000003010800050000000b0200000000050000000c02d800
d800040000002e0118001c000000fb020400020000000000bc02000000000102022253797374656d00453f3f3f0000003f3f3f3f083f3f3f000000003f3f3f3f
3f00040000002d0100001c000000fb02f4ff0000000000009001000000000740001254696d6573204e657720526f6d616e000000000000000000000000000000
0000040000002d0101000400000002010100050000000902000000020d000000320a0b0000000100040000000000d800d80020000500040000002d010000030000000000}{\pict{\*\picprop\shplid1026{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fFlipH}{\sv 0}}
{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn pibFlags}{\sv 2}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fIsBullet}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}\picscalex100\picscaley100\piccropl0\piccropr0\piccropt0\piccropb0
\picw7620\pich7620\picwgoal4320\pichgoal4320\wmetafile8\bliptag-183086455\blipupi72{\*\blipuid f51652893f3b8d30ae741623fba066e1}
0100090000030202000002008a01000000008a01000026060f000a03574d464301000000000001009b9b0000000001000000e802000000000000e80200000100
00006c000000000000000000000015000000380000000000000000000000c31d0000c31d000020454d4600000100e80200000e00000002000000000000000000
000000000000b0090000b40d0000d2000000290100000000000000000000000000005034030028880400160000000c000000180000000a000000100000000000
00000000000009000000100000008403000084030000250000000c0000000e000080120000000c00000001000000520000007001000001000000ceffffff0000
00000000000000000000900100000000000007400012540069006d006500730020004e0065007700200052006f006d0061006e00000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000d935093000000000040000000000ae30163609300000000047169001000002020603050405020304ff3a00e0417800c0090000000000
0000ff01000000000000540069006d00650073002000000065007700200052006f006d0061006e000000000000000734093050ebae30d83f5800010000000000
00008c8b170012b502308c8b17004c6eaf30a48b17006476000800000000250000000c00000001000000180000000c0000000000000254000000540000000000
000000000000150000003800000001000000df7b074139760741000000002d000000010000004c00000004000000000000000000000084030000840300005000
0000200015001600000046000000280000001c0000004744494302000000ffffffffffffffff8503000085030000000000004600000014000000080000004744
494303000000250000000c0000000e0000800e000000140000000000000010000000140000000400000003010800050000000b0200000000050000000c02d800
d800040000002e0118001c000000fb020400020000000000bc02000000000102022253797374656d00453f3f3f0000003f3f3f3f083f3f3f000000003f3f3f3f
3f00040000002d01000004000000020101001c000000fb02f4ff0000000000009001000000000740001254696d6573204e657720526f6d616e00000000000000
00000000000000000000040000002d010100050000000902000000020d000000320a0b0000000100040000000000d800d80020000500040000002d010000030000000000}{\pict{\*\picprop\shplid1027{\sp{\sn shapeType}{\sv 75}}{\sp{\sn fFlipH}{\sv 0}}
{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn pibFlags}{\sv 2}}{\sp{\sn fLine}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fIsBullet}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}\picscalex100\picscaley100\piccropl0\piccropr0\piccropt0\piccropb0
\picw7620\pich7620\picwgoal4320\pichgoal4320\wmetafile8\bliptag-183086455\blipupi72{\*\blipuid f51652893f3b8d30ae741623fba066e1}
0100090000030202000002008a01000000008a01000026060f000a03574d464301000000000001009b9b0000000001000000e802000000000000e80200000100
00006c000000000000000000000015000000380000000000000000000000c31d0000c31d000020454d4600000100e80200000e00000002000000000000000000
000000000000b0090000b40d0000d2000000290100000000000000000000000000005034030028880400160000000c000000180000000a000000100000000000
00000000000009000000100000008403000084030000250000000c0000000e000080120000000c00000001000000520000007001000001000000ceffffff0000
00000000000000000000900100000000000007400012540069006d006500730020004e0065007700200052006f006d0061006e00000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000
00000000000000000000d935093000000000040000000000ae30163609300000000047169001000002020603050405020304ff3a00e0417800c0090000000000
0000ff01000000000000540069006d00650073002000000065007700200052006f006d0061006e000000000000000734093050ebae30d83f5800010000000000
00008c8b170012b502308c8b17004c6eaf30a48b17006476000800000000250000000c00000001000000180000000c0000000000000254000000540000000000
000000000000150000003800000001000000df7b074139760741000000002d000000010000004c00000004000000000000000000000084030000840300005000
0000200015001600000046000000280000001c0000004744494302000000ffffffffffffffff8503000085030000000000004600000014000000080000004744
494303000000250000000c0000000e0000800e000000140000000000000010000000140000000400000003010800050000000b0200000000050000000c02d800
d800040000002e0118001c000000fb020400020000000000bc02000000000102022253797374656d00453f3f3f0000003f3f3f3f083f3f3f000000003f3f3f3f
3f00040000002d01000004000000020101001c000000fb02f4ff0000000000009001000000000740001254696d6573204e657720526f6d616e00000000000000
00000000000000000000040000002d010100050000000902000000020d000000320a0b0000000100040000000000d800d80020000500040000002d010000030000000000}}{\list\listtemplateid1212948924{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fs20\fbias0 \levelpicture0\fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext
\'01o;}{\levelnumbers;}\f2\fs20\fbias0 \levelpicture1\fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}
\f10\fs20\fbias0 \levelpicture2\fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fs20\fbias0 
\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fs20\fbias0 \fi-360\li3600
\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fs20\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fs20\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fs20\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fs20\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid848527252}{\list\listtemplateid437043026\listhybrid{\listlevel\levelnfc0\levelnfcn0
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid1074331663\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid1074331673\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2
\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331675\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0
\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331663\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4
\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331673\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2
\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331675\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel
\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331663\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5040\jclisttab\tx5040\lin5040 }
{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331673\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5760\jclisttab\tx5760\lin5760 
}{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid1074331675\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6480
\jclisttab\tx6480\lin6480 }{\listname ;}\listid1052852469}}{\*\listoverridetable{\listoverride\listid1052852469\listoverridecount0\ls1}{\listoverride\listid848527252\listoverridecount0\ls2}}{\*\pgptbl {\pgp\ipgp5\itap0\li0\ri0\sb0\sa0}{\pgp\ipgp0\itap0
\li0\ri0\sb0\sa0}{\pgp\ipgp2\itap0\li0\ri0\sb0\sa0}{\pgp\ipgp1\itap0\li0\ri0\sb0\sa0}{\pgp\ipgp3\itap0\li0\ri0\sb0\sa0}}{\*\rsidtbl \rsid12747\rsid217176\rsid228698\rsid294544\rsid406331\rsid527031\rsid550964\rsid591010\rsid1137733\rsid1200064\rsid1200746
\rsid1647561\rsid1929151\rsid1967849\rsid2120222\rsid2389211\rsid2517022\rsid2519137\rsid2555925\rsid2646587\rsid2840862\rsid2973569\rsid3239394\rsid3243459\rsid3305604\rsid3354787\rsid3422510\rsid3805073\rsid3831285\rsid4267384\rsid4354886\rsid4468710
\rsid4619433\rsid4676906\rsid4786690\rsid4861767\rsid4877447\rsid5066265\rsid5116943\rsid5135486\rsid5193580\rsid5273674\rsid5325343\rsid5339514\rsid5450534\rsid5465082\rsid5509367\rsid5532041\rsid5726874\rsid5838587\rsid5860257\rsid6107656\rsid6181291
\rsid6438812\rsid6508105\rsid6702097\rsid6759808\rsid6910323\rsid7094609\rsid7160650\rsid7225195\rsid7341680\rsid7679710\rsid7800131\rsid8725167\rsid8867352\rsid8985743\rsid9128782\rsid9268839\rsid9381230\rsid9584895\rsid9721508\rsid9838158\rsid9852819
\rsid9900941\rsid10123074\rsid10162154\rsid10312244\rsid10383539\rsid10440898\rsid10492462\rsid11280645\rsid11413798\rsid11548160\rsid11606409\rsid11815132\rsid11893935\rsid11946752\rsid12324761\rsid12395498\rsid12461915\rsid12526274\rsid12727841
\rsid13246966\rsid13250675\rsid13330500\rsid13373434\rsid13722352\rsid13790666\rsid13914231\rsid14179908\rsid14429728\rsid14567257\rsid14638916\rsid14772464\rsid14825766\rsid14879950\rsid15018743\rsid15104486\rsid15147243\rsid15344730\rsid15414558
\rsid15423773\rsid15887559\rsid16334334\rsid16349011\rsid16542069\rsid16740949}{\*\generator Microsoft Word 11.0.0000;}{\info
{\title TRANSBRONCHIAL MIGRATION OF DOUBLE LUMEN TUBE DURING LOBECTOMY POST BRONCHOSCOPIC CONFIRMATION OF PROPER POSITIONING IN LATERAL DECUBITUS}{\author DR RANDHIR MITRA }{\operator Nishant Kumar}{\creatim\yr2011\mo8\dy27\hr20\min44}
{\revtim\yr2013\mo12\dy20\hr20\min57}{\version15}{\edmins200}{\nofpages9}{\nofwords1330}{\nofchars7583}{\nofcharsws8896}{\vern24617}{\*\password 00000000}}{\*\xmlnstbl {\xmlns1 http://schemas.microsoft.com/office/word/2003/wordml}{\xmlns2 urn:schemas-micr
osoft-com:office:smarttags}}\paperw12240\paperh15840\margl1440\margr1440\margt1258\margb1440\gutter0\ltrsect 
\widowctrl\ftnbj\aenddoc\donotembedsysfont1\donotembedlingdata0\grfdocevents0\validatexml1\showplaceholdtext0\ignoremixedcontent0\saveinvalidxml0\showxmlerrors1\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dgmargin\dghspace180
\dgvspace180\dghorigin1440\dgvorigin1258\dghshow1\dgvshow1
\jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule\nobrkwrptbl\snaptogridincell\allowfieldendsel\wrppunct
\asianbrkrule\rsidroot7679710\newtblstyruls\nogrowautofit \fet0{\*\wgrffmtfilter 2450}\ilfomacatclnup0{\*\ftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10492462 \chftnsep 
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10492462 \chftnsepc 
\par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10492462 \chftnsep 
\par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10492462 \chftnsepc 
\par }}\ltrpar \sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9268839\sftnbj {\footerl \ltrpar \pard\plain \ltrpar\s19\ql \li0\ri0\sa200\sl276\slmult1\widctlpar
\tqc\tx4153\tqr\tx8306\pvpara\phmrg\posxc\posy0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2517022 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs20\insrsid10492462 \hich\af37\dbch\af37\loch\f37 PAGE  }}{\fldrslt }}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \cs20\insrsid10492462 
\par }\pard \ltrpar\s19\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\tqc\tx4153\tqr\tx8306\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10492462 
\par }}{\footerr \ltrpar \pard\plain \ltrpar\s19\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\tqc\tx4153\tqr\tx8306\pvpara\phmrg\posxc\posy0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2517022 \rtlch\fcs1 \af0\afs22\alang1025 
\ltrch\fcs0 \fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs20\insrsid10492462 \hich\af37\dbch\af37\loch\f37 PAGE  }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\cs20\lang1024\langfe1024\noproof\insrsid15147243 \hich\af37\dbch\af37\loch\f37 1}}}\sectd \linex0\endnhere\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs20\insrsid10492462 
\par }\pard \ltrpar\s19\ql \li0\ri0\sa200\sl276\slmult1\widctlpar\tqc\tx4153\tqr\tx8306\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10492462 
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}
{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8
\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\qc \li0\ri0\sa200\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12727841 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 Title: }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Transbronchial }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 m}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 igration of }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 
\hich\af0\dbch\af37\loch\f0 d}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ouble }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 l}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 umen }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 t}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ube during }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 l}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 obectomy}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12727841 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 Running title:}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0  Transbronchial migration of DLT}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 
\par \hich\af0\dbch\af37\loch\f0 Authors:
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Kumar}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 , Nishant}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 , DA, DNB, MNAMS}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10492462 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid10492462 \hich\af0\dbch\af37\loch\f0 Mitra, 
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}Ranadhir}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid10492462\charrsid8867352 {\*\xmlclose}\hich\af0\dbch\af37\loch\f0 , {\*\xmlopen\xmlns2{\factoidname State}}MD
{\*\xmlclose}{\*\xmlclose}
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12727841 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Singh,}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0  {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}Ranju{\*\xmlclose},}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0  {\*\xmlopen\xmlns2{\factoidname State}}MD{\*\xmlclose}{\*\xmlclose}
\par \hich\af0\dbch\af37\loch\f0 Jain,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0  {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}Aruna{\*\xmlclose},}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0  {\*\xmlopen\xmlns2{\factoidname State}}MD{\*\xmlclose}{\*\xmlclose}
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Institution: }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid8867352 {\*\xmlopen\xmlns2{\factoidname PlaceName}}
\hich\af0\dbch\af37\loch\f0 Lady{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceName}}Hardinge{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceName}}Medical{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}College{\*\xmlclose}
 and Associated Hospitals, {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}New Delhi{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname country-region}}India{\*\xmlclose}{\*\xmlclose}.
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Corresponding Author:}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \ab\af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0 Dr.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0 Nishant Kumar
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12727841 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang16393\langfe1033\langnp16393\insrsid12727841\charrsid14429728 
\hich\af0\dbch\af37\loch\f0                                         }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang16393\langfe1033\langnp16393\insrsid12727841 \hich\af0\dbch\af37\loch\f0   }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang16393\langfe1033\langnp16393\insrsid15147243 \hich\af0\dbch\af37\loch\f0 A\hich\af0\dbch\af37\loch\f0 -1\hich\af0\dbch\af37\loch\f0 0\hich\af0\dbch\af37\loch\f0 3\hich\af0\dbch\af37\loch\f0  \hich\af0\dbch\af37\loch\f0 U
\hich\af0\dbch\af37\loch\f0 r\hich\af0\dbch\af37\loch\f0 j\hich\af0\dbch\af37\loch\f0 a\hich\af0\dbch\af37\loch\f0  \hich\af0\dbch\af37\loch\f0 T\hich\af0\dbch\af37\loch\f0 o\hich\af0\dbch\af37\loch\f0 w\hich\af0\dbch\af37\loch\f0 e
\hich\af0\dbch\af37\loch\f0 rs\hich\af0\dbch\af37\loch\f0 , sector }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang16393\langfe1033\langnp16393\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0 4}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang16393\langfe1033\langnp16393\insrsid15147243 \hich\af0\dbch\af37\loch\f0 7}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid14429728 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid15147243 \hich\af0\dbch\af37\loch\f0                                          \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1036\langfe1033\langnp1036\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0 Gurgaon 12200}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1036\langfe1033\langnp1036\insrsid15147243 \hich\af0\dbch\af37\loch\f0 1}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\lang1036\langfe1033\langnp1036\insrsid12727841\charrsid14429728 
\par \hich\af0\dbch\af37\loch\f0                                          }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1036\langfe1033\langnp1036\insrsid12727841 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1036\langfe1033\langnp1036\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0 E mail - }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\lang1036\langfe1033\langnp1036\insrsid12727841\charrsid14429728 
\hich\af0\dbch\af37\loch\f0  HYPERLINK "mailto:kumarnishant@yahoo.co.uk" }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15104486\charrsid14429728 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000017000000190000006b0075006d00610072006e0069007300680061006e00740040007900610068006f006f002e0063006f002e0075006b000000e0c9ea79f9bace118c8200aa004ba90b580000006d00610069006c0074006f003a006b0075006d00610072006e006900
7300680061006e00740040007900610068006f006f002e0063006f002e0075006b000000795881f43b1d7f48af2c825dc485276300000000a5ab00000000000000}}}{\fldrslt {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\cs15\f0\fs24\ul\cf2\lang1036\langfe1033\langnp1036\insrsid12727841\charrsid14429728 \hich\af0\dbch\af37\loch\f0 kumarnishant@yahoo.co.uk}}}\sectd \linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9268839\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1036\langfe1033\langnp1036\insrsid12727841\charrsid12727841 
\par \hich\af0\dbch\af37\loch\f0                                           }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 Phone: +91 9811934659}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\insrsid12727841\charrsid8867352 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12727841 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Keywords: }
{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 D}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12727841 \hich\af0\dbch\af37\loch\f0 ouble lumen tube}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid12727841\charrsid8867352 \hich\af0\dbch\af37\loch\f0 , bronchoscopy, one lung ventilation, hypoxia.
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841\charrsid8867352 
\par \hich\af0\dbch\af37\loch\f0 Conflict of Interest: None
\par \hich\af0\dbch\af37\loch\f0 Financial Interest: None
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10492462 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid10492462 \hich\af0\dbch\af37\loch\f0 Word Count: 880}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 
\par }\pard \ltrpar\qc \li0\ri0\sa200\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11548160 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12727841 
\par 
\par 
\par }\pard \ltrpar\qc \li0\ri0\sa200\sl360\slmult1\widctlpar\tx4500\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16542069 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 \hich\af0\dbch\af37\loch\f0 Title: }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Transbronchial }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 \hich\af0\dbch\af37\loch\f0 m}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\insrsid11548160\charrsid8867352 \hich\af0\dbch\af37\loch\f0 igration of }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 \hich\af0\dbch\af37\loch\f0 d}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\insrsid11548160\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ouble }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 \hich\af0\dbch\af37\loch\f0 l}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 ume\hich\af0\dbch\af37\loch\f0 n }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 \hich\af0\dbch\af37\loch\f0 t}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 ube during }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 \hich\af0\dbch\af37\loch\f0 l}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160\charrsid8867352 \hich\af0\dbch\af37\loch\f0 obectomy}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid11548160 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid14429728\charrsid8867352 \hich\af0\dbch\af37\loch\f0 A}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid14429728 \hich\af0\dbch\af37\loch\f0 bstract}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\b\f0\fs24\insrsid13722352\charrsid8867352 
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
Proper positioning of double lumen tube (DLT) during thoracic surgery remains }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 essential for successful lung separation and hence}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  surgery. Bronchoscopic confirmation of DLT is }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 the }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 gold standard but the position of DLT is dynamic}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 ally}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  infl}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
uenced by }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 change in patient position}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0  and}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  intraoperative manipulation}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 . }{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 We report a case of displacement and transbronchial migration of DLT during right upper lobectomy.
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid13722352\charrsid8867352 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid14429728 \hich\af0\dbch\af37\loch\f0 Introduction}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\par }\pard \ltrpar\qj \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
Lung isolation using a double lumen tube (DLT) during thoracic surgery is a routine procedure performed by anesthesiologists. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Both}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  clin}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8867352 \hich\af0\dbch\af37\loch\f0 ical evaluation and bronchoscopy}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  in supine and lateral position}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 s}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 are used for confirmation of correct placement of the DL
\hich\af0\dbch\af37\loch\f0 T}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8867352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 1}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  Any displacement results in loss of lung isolation, decrease in compliance, increased peak inspiratory pressures and resultant V-Q mismatch}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 We describe a case of intraoperative displacement and transbronchial migration of DLT during right upper lobect\hich\af0\dbch\af37\loch\f0 omy detected by clinical signs and confirmed by a repeat bronchoscopy.
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid13722352\charrsid8867352 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par \hich\af0\dbch\af37\loch\f0 C}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid14429728 \hich\af0\dbch\af37\loch\f0 ase}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  R}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid14429728 \hich\af0\dbch\af37\loch\f0 eport}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  
\par }\pard \ltrpar\qj \fi720\li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2973569 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
A 57-year-old 70kg male presented with right upper lobe adenocarcinoma of lung, T3N1MO. He had had two bouts of hemoptysis and weight loss}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0  (>20%)}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  over the past t\hich\af0\dbch\af37\loch\f0 hree months. He was a known hypertensive }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 controlled tab }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 enalapril 5mg once a day for the }{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 past}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 3 years. He was a regular smoker and an occasional alcoholic. He had good exercise tolerance and could climb 3 flight}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 s}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  of stairs without difficulty.  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Preoperative}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  pulse rate }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 was}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  70 beats per minute, blood pressure 140/80 mm of Hg, respiratory rate 16-18 per minute. His preoperative investigations }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 including arterial gases }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 were within normal limits}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid2389211\charrsid8867352 \hich\af0\dbch\af37\loch\f0 . P}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
ulmonary function tests showed a mild obstructive airway disease (F\hich\af0\dbch\af37\loch\f0 EV1/FVC ratio of 70%). He was scheduled for right upper lobectomy under general anesthesia. After institution of a thoracic epidural catheter}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0  at T5-6 level}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  and induction of a general anaesthe}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 sia alongwith}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  neuromuscular block}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ade}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 , his trachea was intubated w
\hich\af0\dbch\af37\loch\f0 
ith a 39Fr left Portex DLT under direct laryngoscopy. After clinically ascertaining adequate lung separation by sequential clamping of each lumen and auscultation, the position of the DLT was confirmed with a fibreoptic bronchoscope. Two m}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 l}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  of air in the b\hich\af0\dbch\af37\loch\f0 
ronchial cuff was adequate to achieve separation. 
\par }\pard \ltrpar\qj \fi720\li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
The tube was secured, the bronchial cuff deflated and mechanical ventilation }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 of both lungs }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 initiated. Peak inspiratory pressures}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0  (PIP)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  were 21 cm H}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\sub\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 O with a tidal volume of 600ml}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  The\hich\af0\dbch\af37\loch\f0  patient was then turned into left }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 decubitus}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  position and repeat bronchoscopic confirmation was carried out to rule out secondary displacement, with the blue cuff just visible at the level of }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 the }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
carina. After thoracotomy, one lung ventilation (OLV) was in\hich\af0\dbch\af37\loch\f0 itiated }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 and}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 PIP}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 increased}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  to 28 cm of H}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\sub\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 O with a tidal volume of 350ml and a rate of 18/min }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 with}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  an FiO}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\sub\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  of }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 0.5}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 . The patient was able to maintain }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 oxygen }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 saturation}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0  (SpO}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\sub\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  of 98% during the first hour of OLV. During dissection of the right upper lobe bronch\hich\af0\dbch\af37\loch\f0 us and manipulation of the carina, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 PIP increased}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  to 40cm of H}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\sub\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 O and the }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 SpO}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\sub\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2 }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 decreased}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  to 88-90%. Distal migration of }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 the }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
DLT blocking the left upper lobe bronchus was suspected. The DLT was withdrawn by 0.5cm. However, the }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 PIP}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  and }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 SpO}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\sub\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  did not improve and\hich\af0\dbch\af37\loch\f0  the surgeons co}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 nfirmed the}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 inflation of the right lower lobe. A suspicion of transbronchial migration arose}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Repeat }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 bronchoscop}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ic examination}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  confirmed the bronchial lumen of the DLT}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0  to be}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  in the right}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid6107656\charrsid8867352 \hich\af0\dbch\af37\loch\f0  intermediate}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  bronchus. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 T}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 he surgeons palpate}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 d}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  the }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 tube\hich\af0\dbch\af37\loch\f0  in the }{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 right bronchus and confirmed the same. Since}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0  a}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  right upper lobectomy had to be carried out, the DLT was left in situ}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 
\hich\af0\dbch\af37\loch\f0  a}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 nd used as a right DLT}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 . The DLT was withdrawn,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  bronchial lumen clamped and ventilation }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 carried out }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 through the tracheal lumen. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Sub\hich\af0\dbch\af37\loch\f0 sequent}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  surg}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ical}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  and anaesthe}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 tic course}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  w}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 as}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  uneventful}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 . Trachea}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  was extubated at the end of the procedure}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0  and patient shifted to intensive care unit for monitoring}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 .
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid13722352\charrsid8867352 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid14429728 \hich\af0\dbch\af37\loch\f0 Discussion}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\par }\pard \ltrpar\qj \fi720\li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
Malposition or relocation o\hich\af0\dbch\af37\loch\f0 f DLT is a potential threat which exists at the time of insertion, lateral positioning and during intraoperative manipulation by the surgeons.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\super\insrsid12324761 \hich\af0\dbch\af37\loch\f0 (2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid3239394 \hich\af0\dbch\af37\loch\f0 ,3}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid12324761\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  The incidence varies }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 depending}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  on whether the position was confirmed by }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8867352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 auscultation}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8867352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\super\insrsid3239394 \hich\af0\dbch\af37\loch\f0 4}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 
\hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 or fibreoptic bronch\hich\af0\dbch\af37\loch\f0 oscopy (FOB)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid13790666 \hich\af0\dbch\af37\loch\f0 (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8985743 
\hich\af0\dbch\af37\loch\f0 5}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  

\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Preventing malposition starts first with choosing the correct size DLT. Secondly, use of the newer approach}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\super\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
(where the carina is visualized through the transparent wall of the left DLT)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid12324761 \hich\af0\dbch\af37\loch\f0 (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8985743 
\hich\af0\dbch\af37\loch\f0 6}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 rather than the classic }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8867352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 approach reduces}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 the chances of malpositioning from 53% to 23%. The third step is inflation of distal cuff with saline instead of air.}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid13790666 \hich\af0\dbch\af37\loch\f0 (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\super\insrsid8985743 \hich\af0\dbch\af37\loch\f0 7}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 

\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 In our case, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8867352 \hich\af0\dbch\af37\loch\f0 although the}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 correct }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 p}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 lacement}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  of the DLT }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 was confirmed }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 by both methods, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 still the tube migrated transbronchially as }{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8867352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 evid\hich\af0\dbch\af37\loch\f0 enced}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0  by increased PIP}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0 and }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid8867352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 decreased}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid3422510\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15344730\charrsid8867352 \hich\af0\dbch\af37\loch\f0 SpO}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\sub\insrsid15344730\charrsid8867352 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 . Although secretions and mucous plugs can produce a similar scenario, this }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15344730\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
was ruled out}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 by a thorough bronchial suction. However, a sudden rise in pressures during surgical manipulation of the carina should always raise the suspicion of tube displacement}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 . W}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ith the thorax open and parts draped, the only two methods }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 left for confirming tube di\hich\af0\dbch\af37\loch\f0 splacement }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
are FOB and direct palpation of the bronchus. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
Other methods of determining translocation of DLT are bronchial cuff pressure changes (fall with proximal displacement)}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid13790666 \hich\af0\dbch\af37\loch\f0  (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\super\insrsid8985743 \hich\af0\dbch\af37\loch\f0 8}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ) }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15414558\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 and continuous spirometry in the form of pressure-volume and flow-volume lo\hich\af0\dbch\af37\loch\f0 ops (airway resistance increases due to airway narrowing as the cuff herniates distally)}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\super\insrsid13790666 \hich\af0\dbch\af37\loch\f0  (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8985743 \hich\af0\dbch\af37\loch\f0 9}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid15414558\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15887559 \hich\af0\dbch\af37\loch\f0  while methods to decrease the incidence can be proper size selection of DLT}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid5860257 \hich\af0\dbch\af37\loch\f0 (1}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8985743 \hich\af0\dbch\af37\loch\f0 0}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid5860257 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15887559 \hich\af0\dbch\af37\loch\f0  and using neck brace during lateral positioning.}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid5860257 \hich\af0\dbch\af37\loch\f0 (1}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8985743 
\hich\af0\dbch\af37\loch\f0 1}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid5860257 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid15887559 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid15414558\charrsid8867352 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1929151\charrsid8867352 \hich\af0\dbch\af37\loch\f0 Transbronchial migration of\hich\af0\dbch\af37\loch\f0 
 DLT is an uncommon occurrence, with case reports being few and far in between}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13790666\charrsid8867352 \hich\af0\dbch\af37\loch\f0 ,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\super\insrsid13790666\charrsid8867352 \hich\af0\dbch\af37\loch\f0 (}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid3239394 \hich\af0\dbch\af37\loch\f0 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid8985743 
\hich\af0\dbch\af37\loch\f0 ,12}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid1929151\charrsid8867352 \hich\af0\dbch\af37\loch\f0 )}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1929151\charrsid8867352 \hich\af0\dbch\af37\loch\f0 
 particularly after the initial placement has been confirmed by FOB. The main reason for this event in our case was probably a smaller sized tube}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13373434 \hich\af0\dbch\af37\loch\f0 ,}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1929151\charrsid8867352 \hich\af0\dbch\af37\loch\f0  together with extensive surgical manipulation of the carina. 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 To conclude, DLT translocation can occur anytime during surgery}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1929151\charrsid8867352 
\hich\af0\dbch\af37\loch\f0  even after initial correct }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8867352 \hich\af0\dbch\af37\loch\f0 placement}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 . A high index of suspicion along with clinical and FOB confirmation is important for early d\hich\af0\dbch\af37\loch\f0 iagnosis and }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1929151\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 appropriate }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 \hich\af0\dbch\af37\loch\f0 management}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid1929151\charrsid8867352 
\hich\af0\dbch\af37\loch\f0 .}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid1929151\charrsid8867352 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12324761 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid9268839 
\par 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid12324761 \hich\af0\dbch\af37\loch\f0 References}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\insrsid13722352 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 1.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\sa200\sl480\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid8985743 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 
Pennefather SH, Russell GN: Placement of double-lumen tubes\hich\f0 \emdash \loch\f0 Time to shed light on an old problem. Br J Anaesth }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 \hich\af0\dbch\af37\loch\f0 2000;}{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 84:308-10
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 2.\tab}\hich\af0\dbch\af37\loch\f0 Riley RH, {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}Marples
{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname State}}IL{\*\xmlclose}{\*\xmlclose}: Relocation of a double-lumen tube during patient positioning. Anesth Analg }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 
\hich\af0\dbch\af37\loch\f0 1992;}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 75:1071
\par {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}{\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 3.\tab}\hich\af0\dbch\af37\loch\f0 Cheng{\*\xmlclose} 
{\*\xmlopen\xmlns2{\factoidname State}}KS{\*\xmlclose}{\*\xmlclose}, Wu RSC: Displacement of double-lumen tubes after patient positioning. Anesthesiology }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 
\hich\af0\dbch\af37\loch\f0 1998;}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 89:1282-83, 1998
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 4.\tab}\hich\af0\dbch\af37\loch\f0 Alliaume B, Coddens J, \hich\af0\dbch\af37\loch\f0 
DeLoof T: Reliability of auscultation in positioning of double-lumen endobronchial tubes. Can J Anaesth }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 \hich\af0\dbch\af37\loch\f0 1992;}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 39:}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 \hich\af0\dbch\af37\loch\f0 687-}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 90
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 5.\tab}\hich\af0\dbch\af37\loch\f0 Pennefather SH, Russell GN: Placement of double-lumen tubes\hich\f0 \emdash \loch\f0 
Time to shed light on an old problem. Br J Anaesth }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 \hich\af0\dbch\af37\loch\f0 2000;}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 
\hich\af0\dbch\af37\loch\f0 84:308-10}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \lang1036\langfe1033\langnp1036\insrsid5860257\charrsid12727841 \hich\af0\dbch\af37\loch\f0 6.\tab}}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\lang1036\langfe1033\langnp1036\insrsid5860257\charrsid12727841 \hich\af0\dbch\af37\loch\f0 Forti\hich\af0\dbch\af37\loch\f0 \hich\f0 er G, Cote\'b4\loch\f0  D, Bergeron C, Bussieres JS. }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 New landmarks improve the positioning of the left Broncho-Cath double}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 \hich\af0\dbch\af37\loch\f0  }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 lumen tube-comparison with the classic}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid12324761\charrsid8985743 \hich\af0\dbch\af37\loch\f0 
 technique. Can J Anaesth 2001;}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 48:790\hich\f0 \endash \loch\f0 4
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid16334334 \hich\af0\dbch\af37\loch\f0 7.\tab}}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid16334334 \hich\af0\dbch\af37\loch\f0 Suzuki}{\rtlch\fcs1 
\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  M, Haraguchi S,}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid16334334 \~\hich\af0\dbch\af37\loch\f0 Kitamura}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  A, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid16334334 \hich\af0\dbch\af37\loch\f0 Shimada}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  Y, }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid16334334 \hich\af0\dbch\af37\loch\f0 Sakamoto}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  A.}{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \b\f0\fs24\kerning36\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 Inflat\hich\af0\dbch\af37\loch\f0 ion of the Distal Cuff by Saline Reduces the Incidence of Malposition of the Bronchial Tube During Lung Separation in Patients Receiving Nitrous Oxide. }
{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \cs17\f0\fs24\chbrdr\brdrnone\brdrframe1 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 Journal of Cardiothoracic and Vascular Anesthesia}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 
\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \cs16\f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 2007;21:838-42
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 8.\tab}}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 
Araki K, Nomura R, Urushibara R, Yoshikawa Y, Hatano Y. Displacement of the double-lumen endobronchial tube can be detected by bronchial cuff pressure change. Anesth Analg 1997;84:1349-53
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 9.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\sl480\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid5325343 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 Bardoczky GI, Levarlet M, Engelman E, }{
\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5325343\charrsid5325343 \hich\af0\dbch\af37\loch\f0 D}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf1\lang9\langfe16393\langnp9\langfenp16393\insrsid5325343\charrsid5325343 \hich\af0\dbch\af37\loch\f0 
efrancquen P}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 . Continuous s\hich\af0\dbch\af37\loch\f0 
pirometry for detection of double-lumen endobronchial tube displacement. Br J Anaesth 1993;70:499-502.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 10.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\sa200\sl480\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid5325343 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 
Slinger P.D, Campos J.H. Anaesthesia for thoracic surgery. In: Miller\hich\f0 \rquote \loch\f0 s anesthesia. 7}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\super\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 th}{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0  ed. Churchill livingstone. 2009.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 11.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\sa200\sl480\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0\pararsid8985743 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 Yoon TG,\~Chang HW,\~Ryu H
\hich\af0\dbch\af37\loch\f0 G,\~Kwon TD,\~Bahk JH. }{\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid8985743 \hich\af0\dbch\af37\loch\f0 
Use of a neck brace minimizes double-lumen tube displacement during patient positioning. Can J Anaesth\~2005;52:413-7
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \insrsid8985743\charrsid8985743 \hich\af0\dbch\af37\loch\f0 12.\tab}}\pard \ltrpar\qj \fi-360\li720\ri0\sl480\slmult1\widctlpar
\jclisttab\tx720\wrapdefault\faauto\ls1\rin0\lin720\itap0\pararsid8985743 {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8985743\charrsid8985743 \hich\af0\dbch\af37\loch\f0 Yazigi A, Madi-Jebara S, Haddad F, Antakly MC. }{\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \f0\fs24\lang16393\langfe16393\langnp16393\langfenp16393\insrsid8985743\charrsid8985743 \hich\af0\dbch\af37\loch\f0 Relocation of a double-lumen tube during surgical dissection. Anest\hich\af0\dbch\af37\loch\f0 h Analg 1993;7.1303-10}{
\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid8985743\charrsid8985743 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5860257 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid5860257\charrsid5116943 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf17\insrsid5860257 
\par }{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf17\insrsid5860257\charrsid8867352 
\par 
\par }\pard \ltrpar\ql \li0\ri0\sa200\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8867352 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\insrsid13722352\charrsid8867352 
\par }}

Youez - 2016 - github.com/yon3zu
LinuXploit