Right visual double lumen endotracheal tube versus common right double lumen endotracheal tube lung isolation technique: A randomized controlled study
- VernacularTitle:右侧可视双腔气管导管与普通双腔气管导管肺隔离技术比较的随机对照研究
- Author:
Qi LIU
1
,
2
;
Cheng SHEN
3
;
Xiaoqiang LI
4
;
Yuwen WAN
1
,
2
Author Information
1. Department of Anesthesiology, First People'
2. s Hospital of Chenzhou City, Chenzhou, 423000, Hunan, P. R. China
3. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
4. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China
- Publication Type:Journal Article
- Keywords:
Double lumen endotracheal tube;
visual double lumen endotracheal tube;
auscultation;
pulmonary isolation
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(02):286-290
- CountryChina
- Language:Chinese
-
Abstract:
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.
