Thoracic Injuries
Conditions
Keywords
Mac Grath, Double lumen tube
Brief summary
The insertion of double lumen tube is difficult even more if it is a resident with no experience. we think that using videolaryngoscopes for novice ones would facilitate insertion of double lumen tube thanks to the visualization on a LCD screen of the laryngeal structure.
Interventions
in the mac grath group we use the videolaryngoscope macGrath as first-line for the insertion of double lumen tube
in the macintosh group we use the laryngoscope with Macintosh's blade as first-line for the insertion of double lumen tube
Sponsors
Study design
Eligibility
Inclusion criteria
* Thoracic Surgery * Insertion of double lumen tube
Exclusion criteria
* Emergency surgery * Risk of inhalation * Person unable to consent * Persons deprived of liberty, under guardianship or trusteeship * Pregnant or lactating woman * Allergy to Tracrium, Propofol, Sufentanil
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of success of intubation in both groups at the first attempt | Baseline: one session | the success is defined as a correct implementation of the probe endotracheal in double light by an internal of anesthesia in the 1st attempt. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Individual Determination of Cormack Stage | Baseline: one session | scoring system for the grading of direct laryngoscopy in case of tracheal intubation is difficult |
| Rate of good positioning of double lumen tube confirmed by fibroscopy | Baseline: one session | — |
| The rate of patients with an increase in systolic blood pressure of more than 20% compared to the measurement before insertion of the probe | Baseline: one session | — |
| Intubation time | Baseline: one session | — |
| The rate of patients with pharyngeal pains upon awakening | Baseline: one session | — |
Countries
France