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.	黃綠丹, 朱曉娜, 陳嘉梨, 等. 可視雙腔支氣管導管在麻醉科住院醫師實施肺隔離技術的應用. 臨床麻醉學雜志, 2020, 36(1): 42-45.
2.	史志國, 韓毅, 高廣闊, 等. 可視雙腔支氣管導管在肥胖患者單肺通氣中的應用效果觀察. 實用臨床醫藥雜志, 2021, 25(10): 37-39, 44.
3.	趙振儒, 王馨, 胡杰, 等. 術前不同CT測量方式對指導雙腔支氣管插管效果的影響. 中國醫療設備, 2020, 35(1): 78-81.
4.	李響, 岳子勇. 氣管導管套囊壓力術中管理的研究進展. 臨床與病理雜志, 2021, 41(4): 955-959.
5.	宋偉健, 侯煜鋮, 章劍鋒, 等. 機器人與胸腔鏡肺葉切除術治療臨床N0期肺惡性腫瘤 (≥3 cm) 的傾向性評分匹配研究. 中國胸心血管外科臨床雜志, 2022, 29(4): 436-442.
6.	劉濤, 羅太君, 陳玢, 等. 頭頸部位置改變對可視雙腔氣管導管位置的影響. 中國內鏡雜志, 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.	陳順波, 李亞婷, 劉瑤. 一種改良右側雙腔支氣管導管定位法在胸腔鏡手術中的應用. 中國內鏡雜志, 2018, 24(8): 14-19.
9.	經俊, 方存貴, 萬宗明, 等. 可視雙腔支氣管導管用于胸腔鏡手術氣道管理的效果. 安徽醫學, 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, 張霖, 王佳, 等. 可視雙腔支氣管導管在雙腔支氣管導管插管中的應用優勢. 中國藥物與臨床, 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.	傅建軍, 凌翔, 樊華, 等. 可視型雙腔支氣管導管與普通型雙腔氣管導管在胸部創傷急診手術中的比較. 臨床急診雜志, 2021, 22(9): 618-621.
17.	王明亞, 許挺, 李民. 可視化技術在雙腔氣管導管插管中的應用進展. 中國微創外科雜志, 2019, 19(8): 726-730.
18.	周海鷗, 雷龍, 錢向東, 等. 可視雙腔支氣管導管在胸科手術麻醉應用中的效果觀察. 中國內鏡雜志, 2018, 24(12): 72-76.
19.	李凌海, 史志國, 劉濤, 等. 纖維支氣管鏡引導雙腔氣管導管插管和可視雙腔氣管導管插管的對比研究. 中國內鏡雜志, 2018, 24(8): 42-45.
20.	劉澤宇, 鐘鳴, 俞旻皓. 腹腔鏡鏡頭防霧方法的研究進展. 外科理論與實踐, 2021, 26(5): 463-465.

1. 黃綠丹, 朱曉娜, 陳嘉梨, 等. 可視雙腔支氣管導管在麻醉科住院醫師實施肺隔離技術的應用. 臨床麻醉學雜志, 2020, 36(1): 42-45.
2. 史志國, 韓毅, 高廣闊, 等. 可視雙腔支氣管導管在肥胖患者單肺通氣中的應用效果觀察. 實用臨床醫藥雜志, 2021, 25(10): 37-39, 44.
3. 趙振儒, 王馨, 胡杰, 等. 術前不同CT測量方式對指導雙腔支氣管插管效果的影響. 中國醫療設備, 2020, 35(1): 78-81.
4. 李響, 岳子勇. 氣管導管套囊壓力術中管理的研究進展. 臨床與病理雜志, 2021, 41(4): 955-959.
5. 宋偉健, 侯煜鋮, 章劍鋒, 等. 機器人與胸腔鏡肺葉切除術治療臨床N0期肺惡性腫瘤 (≥3 cm) 的傾向性評分匹配研究. 中國胸心血管外科臨床雜志, 2022, 29(4): 436-442.
6. 劉濤, 羅太君, 陳玢, 等. 頭頸部位置改變對可視雙腔氣管導管位置的影響. 中國內鏡雜志, 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. 陳順波, 李亞婷, 劉瑤. 一種改良右側雙腔支氣管導管定位法在胸腔鏡手術中的應用. 中國內鏡雜志, 2018, 24(8): 14-19.
9. 經俊, 方存貴, 萬宗明, 等. 可視雙腔支氣管導管用于胸腔鏡手術氣道管理的效果. 安徽醫學, 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, 張霖, 王佳, 等. 可視雙腔支氣管導管在雙腔支氣管導管插管中的應用優勢. 中國藥物與臨床, 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. 傅建軍, 凌翔, 樊華, 等. 可視型雙腔支氣管導管與普通型雙腔氣管導管在胸部創傷急診手術中的比較. 臨床急診雜志, 2021, 22(9): 618-621.
17. 王明亞, 許挺, 李民. 可視化技術在雙腔氣管導管插管中的應用進展. 中國微創外科雜志, 2019, 19(8): 726-730.
18. 周海鷗, 雷龍, 錢向東, 等. 可視雙腔支氣管導管在胸科手術麻醉應用中的效果觀察. 中國內鏡雜志, 2018, 24(12): 72-76.
19. 李凌海, 史志國, 劉濤, 等. 纖維支氣管鏡引導雙腔氣管導管插管和可視雙腔氣管導管插管的對比研究. 中國內鏡雜志, 2018, 24(8): 42-45.
20. 劉澤宇, 鐘鳴, 俞旻皓. 腹腔鏡鏡頭防霧方法的研究進展. 外科理論與實踐, 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