Intubation;Difficult
Conditions
Keywords
Fiberoptic intubation, double lumen tube
Brief summary
One lung ventilation (OLV) is required during thoracic procedures such as lung and esophagus surgery. three technique can be employed. (1) placement of a double-lumen bronchial tube (DLT); (2) use of a single-lumen tracheal tube (SLT) in conjunction with a bronchial blocker; (3) insertion of a conventional SLT into a main bronchus. Flexible fiberoptic intubation with SLT is well established technique for anticipated or unexpected difficult intubation. But, little is known about flexible fiberoptic intubation with DLT. The investigators compared insertion time over fiberoptic bronchoscope between SLT with bronchial blocker and DLT in patients undergoing thoracic surgery.
Interventions
fiberoptic intubation with single lumen tube and bronchial blocker
fiberoptic intubation with double umen tube
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing thoracic surgery and one lung ventilation American Society of Anesthesiology Physical status 1,2
Exclusion criteria
* abnormality of upper airway, gastroesophageal disease, risk of aspiration, BMI \> 35
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| insertion time | at anesthesia induction | time from insertion of bronchoscope into mouth to tube placement at trachea or bronchus |
Countries
South Korea