Comparison of Double Lumen Tube Location Verification Techniques in Single Lung Ventilation: Auscultation, Fiberoptic Bronchoscopy, and Video Double Lumen Tube
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 93
- 试验地点
- 1
- 主要终点
- verification of tube location
研究概览
简要总结
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).
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 84 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who will undergo TAV and be placed in the lateral position.
- •Patients with ASA scores of I-III.
- •Patients aged 18-84.
排除标准
- •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
结局指标
主要结局
verification of tube location
时间窗: 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.
次要结局
- evaluation of complications(during surgery)
研究者
Arzu Fırat Durbilmez
assistant doctor of anesthesiology and reanimation
Kayseri City Hospital