Right visual double lumen endotracheal tube versus common right double lumen endotracheal tube lung isolation technique: A randomized controlled study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Qi ¹ , SHEN Cheng ² , LI Xiaoqiang ³ ,  WAN Yuwen ¹

1. Department of Anesthesiology, First People's Hospital of Chenzhou City, Chenzhou, 423000, Hunan, P. R. China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding author：

WAN Yuwen, Email: wanyw@sohu.com

Keywords：

Double lumen endotracheal tube; visual double lumen endotracheal tube; auscultation; pulmonary isolation

DOI：

10.7507/1007-4848.202205043

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the clinical efficacy between right visual double lumen tube (VDLT) intubation and right common double lumen tube (DLT) intubation in lung isolation technique. Methods A total of 57 patients undergoing thoracoscopic surgery with right DLT lung isolation technique in the First People's Hospital of Chenzhou City and West China Hospital from June 2020 to June 2021 were randomly divided into two groups: a DLT group (n=29, 16 males and 13 females, with a mean age of 54.3±13.2 years) and a VDLT group (n=28, 18 males and 10 females, with a mean age of 55.1±13.7 years) at 1 : 1 with random number table generated by the computer. The clinical data of the two groups were compared. Results Compared with the DLT group, the catheter positioning time in the VDLT group was statistically shorter (74.9±47.5 s vs. 151.6±88.9 s, P<0.001), the right upper lung occlusion rate (21.4% vs. 51.7%) and the intraoperative re-adjustment catheterization rate (14.3% vs. 48.3%) were lower (P<0.05). The quality of lung collapses immediately after thoracotomy (67.9% vs. 24.1%) and 20 minutes after thoracotomy (100.0% vs. 75.9%) were improved (P<0.05). There was no significant difference in the rate of fiberoptic bronchoscope assistance for positioning, or the incidence of pharynx pain and hoarseness between the two groups (P>0.05). Conclusion Compared with common DLT, VDLT is more efficient, accurate and intuitive in the location of right bronchial intubation.

Citation： LIU Qi, SHEN Cheng, LI Xiaoqiang, WAN Yuwen. Right visual double lumen endotracheal tube versus common right double lumen endotracheal tube lung isolation technique: A randomized controlled study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(2): 286-290. doi: 10.7507/1007-4848.202205043 Copy

1.	黄绿丹, 朱晓娜, 陈嘉梨, 等. 可视双腔支气管导管在麻醉科住院医师实施肺隔离技术的应用. 临床麻醉学杂志, 2020, 36(1): 42-45.
2.	史志国, 韩毅, 高广阔, 等. 可视双腔支气管导管在肥胖患者单肺通气中的应用效果观察. 实用临床医药杂志, 2021, 25(10): 37-39, 44.
3.	赵振儒, 王馨, 胡杰, 等. 术前不同CT测量方式对指导双腔支气管插管效果的影响. 中国医疗设备, 2020, 35(1): 78-81.
4.	李响, 岳子勇. 气管导管套囊压力术中管理的研究进展. 临床与病理杂志, 2021, 41(4): 955-959.
5.	宋伟健, 侯煜铖, 章剑锋, 等. 机器人与胸腔镜肺叶切除术治疗临床N0期肺恶性肿瘤 (≥3 cm) 的倾向性评分匹配研究. 中国胸心血管外科临床杂志, 2022, 29(4): 436-442.
6.	刘涛, 罗太君, 陈玢, 等. 头颈部位置改变对可视双腔气管导管位置的影响. 中国内镜杂志, 2020, 26(6): 78-82.
7.	Kanavitoon S, Raksamani K, Troy MP, et al. Lung ultrasound is non-inferior to bronchoscopy for confirmation of double-lumen endotracheal tube positioning: A randomized controlled noninferiority study. BMC Anesthesiol, 2022, 22(1): 168.
8.	陈顺波, 李亚婷, 刘瑶. 一种改良右侧双腔支气管导管定位法在胸腔镜手术中的应用. 中国内镜杂志, 2018, 24(8): 14-19.
9.	经俊, 方存贵, 万宗明, 等. 可视双腔支气管导管用于胸腔镜手术气道管理的效果. 安徽医学, 2018, 39(7): 807-810.
10.	Onifade A, Lemon-Riggs D, Smith A, et al. Comparing the rate of fiberoptic bronchoscopy use with a video double lumen tube versus a conventional double lumen tube—A randomized controlled trial. J Thorac Dis, 2020, 12(11): 6533-6541.
11.	Saracoglu A, Saracoglu KT. VivaSight: A new era in the evolution of tracheal tubes. J Clin Anesth, 2016, 33: 442-449.
12.	Kim YS, Song J, Lim BG, et al. Different classes of videoscopes and direct laryngoscopes for double-lumen tube intubation in thoracic surgery: A systematic review and network meta-analysis. PLoS One, 2020, 15(8): e0238060.
13.	Larsen S, Holm JH, Sauer TN, et al. A cost-effectiveness analysis comparing the VivaSight double-lumen tube and a conventional double-lumen tube in adult patients undergoing thoracic surgery involving one-lung ventilation. Pharmacoecon Open, 2020, 4(1): 159-169.
14.	李婧, 张霖, 王佳, 等. 可视双腔支气管导管在双腔支气管导管插管中的应用优势. 中国药物与临床, 2018, 18(9): 1564-1566.
15.	Hoogenboom EM, Ong C, Christodoulides G. Placement of VivaSight (TM) double lumen tube. Anaesthesia, 2016, 71(6): 725-726.
16.	傅建军, 凌翔, 樊华, 等. 可视型双腔支气管导管与普通型双腔气管导管在胸部创伤急诊手术中的比较. 临床急诊杂志, 2021, 22(9): 618-621.
17.	王明亚, 许挺, 李民. 可视化技术在双腔气管导管插管中的应用进展. 中国微创外科杂志, 2019, 19(8): 726-730.
18.	周海鸥, 雷龙, 钱向东, 等. 可视双腔支气管导管在胸科手术麻醉应用中的效果观察. 中国内镜杂志, 2018, 24(12): 72-76.
19.	李凌海, 史志国, 刘涛, 等. 纤维支气管镜引导双腔气管导管插管和可视双腔气管导管插管的对比研究. 中国内镜杂志, 2018, 24(8): 42-45.
20.	刘泽宇, 钟鸣, 俞旻皓. 腹腔镜镜头防雾方法的研究进展. 外科理论与实践, 2021, 26(5): 463-465.

1. 黄绿丹, 朱晓娜, 陈嘉梨, 等. 可视双腔支气管导管在麻醉科住院医师实施肺隔离技术的应用. 临床麻醉学杂志, 2020, 36(1): 42-45.
2. 史志国, 韩毅, 高广阔, 等. 可视双腔支气管导管在肥胖患者单肺通气中的应用效果观察. 实用临床医药杂志, 2021, 25(10): 37-39, 44.
3. 赵振儒, 王馨, 胡杰, 等. 术前不同CT测量方式对指导双腔支气管插管效果的影响. 中国医疗设备, 2020, 35(1): 78-81.
4. 李响, 岳子勇. 气管导管套囊压力术中管理的研究进展. 临床与病理杂志, 2021, 41(4): 955-959.
5. 宋伟健, 侯煜铖, 章剑锋, 等. 机器人与胸腔镜肺叶切除术治疗临床N0期肺恶性肿瘤 (≥3 cm) 的倾向性评分匹配研究. 中国胸心血管外科临床杂志, 2022, 29(4): 436-442.
6. 刘涛, 罗太君, 陈玢, 等. 头颈部位置改变对可视双腔气管导管位置的影响. 中国内镜杂志, 2020, 26(6): 78-82.
7. Kanavitoon S, Raksamani K, Troy MP, et al. Lung ultrasound is non-inferior to bronchoscopy for confirmation of double-lumen endotracheal tube positioning: A randomized controlled noninferiority study. BMC Anesthesiol, 2022, 22(1): 168.
8. 陈顺波, 李亚婷, 刘瑶. 一种改良右侧双腔支气管导管定位法在胸腔镜手术中的应用. 中国内镜杂志, 2018, 24(8): 14-19.
9. 经俊, 方存贵, 万宗明, 等. 可视双腔支气管导管用于胸腔镜手术气道管理的效果. 安徽医学, 2018, 39(7): 807-810.
10. Onifade A, Lemon-Riggs D, Smith A, et al. Comparing the rate of fiberoptic bronchoscopy use with a video double lumen tube versus a conventional double lumen tube—A randomized controlled trial. J Thorac Dis, 2020, 12(11): 6533-6541.
11. Saracoglu A, Saracoglu KT. VivaSight: A new era in the evolution of tracheal tubes. J Clin Anesth, 2016, 33: 442-449.
12. Kim YS, Song J, Lim BG, et al. Different classes of videoscopes and direct laryngoscopes for double-lumen tube intubation in thoracic surgery: A systematic review and network meta-analysis. PLoS One, 2020, 15(8): e0238060.
13. Larsen S, Holm JH, Sauer TN, et al. A cost-effectiveness analysis comparing the VivaSight double-lumen tube and a conventional double-lumen tube in adult patients undergoing thoracic surgery involving one-lung ventilation. Pharmacoecon Open, 2020, 4(1): 159-169.
14. 李婧, 张霖, 王佳, 等. 可视双腔支气管导管在双腔支气管导管插管中的应用优势. 中国药物与临床, 2018, 18(9): 1564-1566.
15. Hoogenboom EM, Ong C, Christodoulides G. Placement of VivaSight (TM) double lumen tube. Anaesthesia, 2016, 71(6): 725-726.
16. 傅建军, 凌翔, 樊华, 等. 可视型双腔支气管导管与普通型双腔气管导管在胸部创伤急诊手术中的比较. 临床急诊杂志, 2021, 22(9): 618-621.
17. 王明亚, 许挺, 李民. 可视化技术在双腔气管导管插管中的应用进展. 中国微创外科杂志, 2019, 19(8): 726-730.
18. 周海鸥, 雷龙, 钱向东, 等. 可视双腔支气管导管在胸科手术麻醉应用中的效果观察. 中国内镜杂志, 2018, 24(12): 72-76.
19. 李凌海, 史志国, 刘涛, 等. 纤维支气管镜引导双腔气管导管插管和可视双腔气管导管插管的对比研究. 中国内镜杂志, 2018, 24(8): 42-45.
20. 刘泽宇, 钟鸣, 俞旻皓. 腹腔镜镜头防雾方法的研究进展. 外科理论与实践, 2021, 26(5): 463-465.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Right visual double lumen endotracheal tube versus common right double lumen endotracheal tube lung isolation technique: A randomized controlled study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content