Double Lumen Tube Intubation
Conditions
Keywords
Double-lumen tube, lateral position intubation, first-attempt success rate, thoracic surgery
Brief summary
The aim of this clinical trial is to find out the first success rate of double lumen intubation in the lateral position in thoracic surgery, it will also find out the safety of double lumen tube intubation in the lateral position. The trial aims to answer the following key questions Does intubation in lateral position improve the first-time success rate of double-lumen intubation compared with in the supine position? What medical problems can participants experience during double lumen tube intubation in the lateral position? The researchers will compare double lumen intubation in the lateral position vs supine position to see if the position is effective in the success rate of double lumen intubation. Participants will Use the supine or lateral position during intubation
Interventions
PROCEDUREDLT placement performed in lateral position
In the lateral position group, patients were positioned laterally (as required for surgery) before anesthesia induction. After anesthesia induction, Double lumen tube placement was performed while the patient remained in the lateral position.
Sponsors
Red Cross Hospital, Hangzhou, China
The First Affiliated Hospital of Guangzhou Medical University
Central People's Hospital of Zhanjiang
The Central Hospital of Lishui City
xiangming fang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* need for DLT intubation with elective unilateral thoracoscopic surgery * age 18-65 years * American Society of Anesthesiologists (ASA) grade of I or II * no serious cardiopulmonary disease
Exclusion criteria
* aged \<18 years or \>65 years * body mass index \>30 kg/m2 * cognitive dysfunction and inability to assume the required body position * previous cervical vertebrae and expected difficult airway (e.g., Mallampati airway grade of III, IV, or higher, maximum mouth opening \<3 finger widths, nail-chin distance \<6 cm) * admission to the intensive care unit after surgery and without follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Successful First-Pass Intubation | Periprocedural | The primary outcome was the success rate of the first DLT intubation attempt. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time | Periprocedural | Defined as from the time when the laryngoscope passed between the patient's lips until the use of a fiberoptic bronchoscope to confirm the correct positioning of the DLT. |
| Interval before surgery | Periprocedural | Defined as the time interval between the admission of patients in the operating room and the start of surgery. |
| p-Peak | Periprocedural | peak inspiratory pressure(p-Peak) during mask ventilation, total-lung ventilation(TLV) and one-lung ventilation(OLV) |
| Flexible bronchoscope usage | Periprocedural | the frequency of use of flexible bronchoscope |
| No. of intubation attempts | Periprocedural | Number of patients who were successfully intubated on any attempt |
| early intubation-related complications | Periprocedural | early intubation-related complications (dental injury; hypoxemia; laryngospasm; bronchospasm; airway trauma; arrhythmia, including the salve of ventricular premature beats, ventricular fibrillation, and ventricular tachycardia; oral mucosal injury; and esophageal intubation) |
| postoperative complications | Periprocedural | postoperative complications (sore throat, GRBAS scale, upper-arm discomfort, and nerve injury) |
| satisfaction scores. | Periprocedural | 0 points: dissatisfied, 1 point: satisfied, 2 points: very satisfied. |
| the incidence of DLT malposition | Periprocedural | the incidence of DLT malposition observed by flexible bronchoscope (DLT malposition was defined as movement \>1.0 cm to correct the DLT position) |
Countries
China
Outcome results
None listed