Lung Cancer, Lung Diseases
Conditions
Keywords
Double lumen tube with video, Single lung ventilation
Brief summary
The aim of this study was to compare auscultation, fiberoptic bronchoscopy (FOB) and video double lumen tube (VDLT) double lumen tube (DLT) location confirmation techniques in terms of intraoperative tube location confirmation time, number of tube dislocations, correction time of dislocations, FOB usage rates, lung deflation quality, postoperative sore throat, presence of hoarseness and cost in thoracic surgery patients undergoing one lung ventilation (OLV).
Detailed description
The single-center, prospective and observational study included 93 patients aged 18-84 years, American Society of Anesthesiology (ASA) I-III, who were to undergo one-lung ventilation in the lateral decubitus position by thoracic surgery under elective conditions. Patients were randomized into Group I: Group with confirmed tube location by auscultation, Group II: Group with confirmed tube location by FOB and Group III: The group in which double lumen tube with video was used. Demographic data of the patients, intubation times, tube site confirmation times, number of type dislocation, dislocation correction time, number and duration of FOB use, quality of lung deflation, presence of postoperative sore throat and hoarseness were recorded. The three groups were compared in terms of cost.
Interventions
DEVICEdouble lumen tube with video
Methods used to confirm tube placement in one-lung ventilation: auscultation, fiberoptic bronchoscopy, and video to evaluate double-lumen tube use
Sponsors
Kayseri City Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 84 Years
Inclusion criteria
* Patients who will undergo TAV and be placed in the lateral position. * Patients with ASA scores of I-III. * Patients aged 18-84.
Exclusion criteria
* Patients undergoing emergency surgery * Patients with American Society of Anesthesiology (ASA) IV and above * Patients with anticipated difficult intubation * Patients requiring intubation with a right thoracic duct (CLT) * Patients with more than three intubation attempts * Patients who refuse to participate in the study * Patients who will undergo TAV but will not be placed in the lateral position (sympathectomy) * Patients with uncontrolled metabolic disease * Mentally retarded patients * Patients under 18 or over 84 * Patients with tracheal or airway abnormalities * Pregnant or breastfeeding women
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| verification of tube location | during surgery | The primary endpoint is the identification of a method that allows the quickest confirmation of double-lumen tube location after intubation and possible intraoperative location changes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of complications | during surgery | The secondary endpoint was to determine the superiority of three methods over each other in preventing complications that may occur due to inadequate tube location confirmation. |
Other
| Measure | Time frame | Description |
|---|---|---|
| cost effectiveness | during surgery | The other endpoint is to determine the superiority of the three methods over each other in terms of reducing costs. |
Countries
Turkey (Türkiye)
Outcome results
None listed