Anesthesia Intubation Complications
Conditions
Keywords
Trachway(R) intubating stylet, Left sided double lumen endobronchial tube, Efficacy, Intubation complication
Brief summary
The purpose of this study is to investigate the effects of Trachway(R) compared with direct laryngoscope in tracheal intubation of double-lumen endobronchial tube.
Detailed description
Intubation with the double-lumen endobronchial tube (DLT) remains a great challenge for anesthesiologists. Although new upper airway devices, such as Trachway (R), a video-assisted intubating stylet, had been developed for facilitating airway management. The larger size and the complexity of DLT than single-lumen tube (SLT) makes the difficulties for DLT intubation. Therefore, the investigators designed this study to investigate the effects of Trachway(R)compared with direct laryngoscope in DLT intubation.
Interventions
Direct laryngoscope was used to facilitate the intubation of left-sided DLT.
Trachway(R) intubating stylet was used to facilitate the intubation of left-sided DLT.
Sponsors
Study design
Eligibility
Inclusion criteria
1. patients with American Society of Anesthesiologists physical status I-III 2. More than 18 years of age 3. Requiring DLT for thoracic surgery
Exclusion criteria
1. risk of regurgitation and pulmonary aspiration 2. history of gastroesophageal reflux, pregnancy 3. scheduled tracheostomy and postoperative prolonged ventilation in ICU 4. patients with limited neck extension (\< 35°) 5. a distance between the tip of the patient's mandible and hyoid bone of less than 7 cm 6. a sternomental distance of less than 12.5 cm with the head fully extended 7. mouth can not open
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main outcome measure is the successful rate of the first intubation | 12 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The outcome measure is mean blood pressure (MAP) during intubation period | 12 months | MAP was measured before intubation, and after intubation 1, 3,and 5 min. |
| The outcome measure is the heart rate (HR) during intubation period | 12 months | HR was measured and recorded before intubation, and after intubation 1, 3,and 5 min. |
| The outcome measure is the time needed to insert the DLT | 12 months | — |
| The outcome measure is the incidence of sore throat. | 12 months | Sore throat was observed and evaluated after extubation and patient regained consciousness. |
| The outcome measure is the incidence of hoarseness. | 12 months | Hoarseness was observed and evaluated after extubation and patient regained consciousness. |
| The outcome measure is the incidence of hypoxemia. | 12 months | Hypoxemia was defined as SPO2 less than 90%. Hypoxemia was recorded during the period of intubation. |
Countries
Taiwan