None listed
Conditions
Interventions
video endotracheal tube group:video endotracheal tube with endobronchial blocker
endotracheal tube group:endotracheal tube with endobronchial blocker
Sponsors
Shanghai Chest Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective thoracic surgery requiring intraoperative single-lung ventilation OLV (including various surgical types such as open surgery/thoracoscopic surgery, various surgical sites such as lung/esophagus/mediastinum, and various anesthesia methods such as general anesthesia/general anesthesia combined with epidural/general anesthesia combined with nerve block); 2. Aged 18-80 years; 3. American Society of Anesthesiologists (ASA) Grade I-III; 4. Sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Serious systemic diseases: such as BMI>35, systemic infection such as sepsis, respiratory diseases such as severe COPD and asthma, circulatory diseases such as malignant arrhythmias and decompensated heart failure affecting hemodynamic stability, and severe abnormal liver and kidney function; 2. Other thoracic surgeries were performed within 4 weeks; 3. Suspected history of tuberculosis; 4. Contraindication of occlude placement: abnormal tracheobronchial anatomy, such as distortion of the left main bronchus caused by descending thoracic aorta or tumor compression; Surgeries involving the left main bronchus, such as left lung transplantation, left tracheobronchial rupture repair, left lung resection, left sleeve resection, etc.; 5. Suspected/known difficult airway: including a history of head and neck malignancy or radiotherapy, known difficulty intubating, Mallampati Grade 4, mouth opening < 3.5 cm, or jaw spacing < 6.5 cm; 6. Surgery requiring other lung isolation devices or techniques (tracheotomy, nasal intubation); 7. High risk of reflux aspiration; 8. Pregnant or lactating patients; 9. Other conditions deemed unsuitable for inclusion by the researchers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of hypoxia; | — |
Secondary
| Measure | Time frame |
|---|---|
| intubation time;intraoperative frequency of fibrobronchoscope;time (T1) for recomfirming tube position and time (T2) for adjustment time after positioning;blood gas was measured, PO2 and PCO2 were recorded, and oxygenation index was calculated during 30min of one-lung ventilation;total numer of bronchoscope;subjective score of lung collapse quality (5min and 15min evaluation);total cost; | — |
Countries
China
Contacts
Public ContactWu Jingxiang
Shanghai Chest Hospital
Outcome results
None listed