Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study
Abstract Background Misplacement of double-lumen endobronchial tubes (DLTs) during bronchial intubation, especially when bronchoscopy guidance is not applicable, threatens effective lung isolation and brings about airway injury during reposition. We aimed to examine whether a novel maneuver called r...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-022-01850-y |
| _version_ | 1828194238621286400 |
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| author | Jianqiang Guan Wenxiu Zhu Xue Xiao Ziyan Huang Jibin Xing Ziqing Hei Yihan Zhang Weifeng Yao |
| author_facet | Jianqiang Guan Wenxiu Zhu Xue Xiao Ziyan Huang Jibin Xing Ziqing Hei Yihan Zhang Weifeng Yao |
| author_sort | Jianqiang Guan |
| collection | DOAJ |
| description | Abstract Background Misplacement of double-lumen endobronchial tubes (DLTs) during bronchial intubation, especially when bronchoscopy guidance is not applicable, threatens effective lung isolation and brings about airway injury during reposition. We aimed to examine whether a novel maneuver called right tracheal displacement (RTD) can reduce left-sided DLT misplacement during first-attempt intubation without bronchoscopy guidance. Methods Patients that underwent thoracic surgeries requiring one-lung ventilation during November 2020 to January 2021 were recruited and randomized into control and RTD group, with 54 cases in each group. The primary outcomes included the incidence of DLT misplacement and the time to complete desired bronchial intubation. The secondary outcomes included mucosal injury, sore throat and hoarseness upon emergence and at 24 h post-operatively. Result The incidence of DLT misplacement in RTD group was significantly lower compared to control group (0% vs. 16.7%) The time to complete bronchial intubation was also significantly shortened in RTD group compared to control (52.88 ± 9.36 s vs. 63.04 ± 20.02 s). The incidence of mucosal injury, sore throat and hoarseness were comparable between two groups. Conclusion RTD maneuver can effectively improve the success rate of first-attempt proper DLT positioning and shorten the time required by bronchial intubation. Trial registration This prospective, double-blind, randomized study has completed the registration of the Chinese Clinical Trial Center at 2/11/2020 with the registration number ChiCTR2000040212. It was conducted from 26/11/2020 to 31/7/2021 in third affiliated hospital of Sun Yat-sen university. |
| first_indexed | 2024-04-12T09:21:39Z |
| format | Article |
| id | doaj.art-808645758747453ba790cb974822efc1 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-04-12T09:21:39Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-808645758747453ba790cb974822efc12022-12-22T03:38:37ZengBMCBMC Anesthesiology1471-22532022-10-012211910.1186/s12871-022-01850-yRight displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized studyJianqiang Guan0Wenxiu Zhu1Xue Xiao2Ziyan Huang3Jibin Xing4Ziqing Hei5Yihan Zhang6Weifeng Yao7Department of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityDepartment of Anesthesiology, The Third Affiliated Hospital of Sun Yat-Sen UniversityAbstract Background Misplacement of double-lumen endobronchial tubes (DLTs) during bronchial intubation, especially when bronchoscopy guidance is not applicable, threatens effective lung isolation and brings about airway injury during reposition. We aimed to examine whether a novel maneuver called right tracheal displacement (RTD) can reduce left-sided DLT misplacement during first-attempt intubation without bronchoscopy guidance. Methods Patients that underwent thoracic surgeries requiring one-lung ventilation during November 2020 to January 2021 were recruited and randomized into control and RTD group, with 54 cases in each group. The primary outcomes included the incidence of DLT misplacement and the time to complete desired bronchial intubation. The secondary outcomes included mucosal injury, sore throat and hoarseness upon emergence and at 24 h post-operatively. Result The incidence of DLT misplacement in RTD group was significantly lower compared to control group (0% vs. 16.7%) The time to complete bronchial intubation was also significantly shortened in RTD group compared to control (52.88 ± 9.36 s vs. 63.04 ± 20.02 s). The incidence of mucosal injury, sore throat and hoarseness were comparable between two groups. Conclusion RTD maneuver can effectively improve the success rate of first-attempt proper DLT positioning and shorten the time required by bronchial intubation. Trial registration This prospective, double-blind, randomized study has completed the registration of the Chinese Clinical Trial Center at 2/11/2020 with the registration number ChiCTR2000040212. It was conducted from 26/11/2020 to 31/7/2021 in third affiliated hospital of Sun Yat-sen university.https://doi.org/10.1186/s12871-022-01850-yDouble-lumen endobronchial tubeOne-Lung ventilationThoracic surgery |
| spellingShingle | Jianqiang Guan Wenxiu Zhu Xue Xiao Ziyan Huang Jibin Xing Ziqing Hei Yihan Zhang Weifeng Yao Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study BMC Anesthesiology Double-lumen endobronchial tube One-Lung ventilation Thoracic surgery |
| title | Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study |
| title_full | Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study |
| title_fullStr | Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study |
| title_full_unstemmed | Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study |
| title_short | Right displacement of trachea to reduce right bronchial misplacement of left double lumen tube: a prospective, double-blind, randomized study |
| title_sort | right displacement of trachea to reduce right bronchial misplacement of left double lumen tube a prospective double blind randomized study |
| topic | Double-lumen endobronchial tube One-Lung ventilation Thoracic surgery |
| url | https://doi.org/10.1186/s12871-022-01850-y |
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