Double-Lumen Tube Intubation in the Lateral Position Versus the Supine Position on First-Attempt Success Rate Among Patients Undergoing Thoracic Surgery: A Prospective, Randomized, Controlled, Multi-center Trial
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 入组人数
- 620
- 试验地点
- 1
- 主要终点
- Successful First-Pass Intubation
研究概览
简要总结
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
Successful First-Pass Intubation
时间窗: Periprocedural
The primary outcome was the success rate of the first DLT intubation attempt.
次要结局
- No. of intubation attempts(Periprocedural)
- Intubation time(Periprocedural)
- Interval before surgery(Periprocedural)
- p-Peak(Periprocedural)
- Flexible bronchoscope usage(Periprocedural)
- the incidence of DLT malposition(Periprocedural)
- early intubation-related complications(Periprocedural)
- postoperative complications(Periprocedural)
- satisfaction scores.(Periprocedural)
研究者
xiangming fang
Chair Professor, Department of Anesthesiology Vice Dean, School of Medicine and and Pharmaceutical sciences Zhejiang University
First Affiliated Hospital of Zhejiang University