A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review
Abstract Background The objective of this study was to evaluate a modern combined video laryngoscopy and flexible fiberoptic bronchoscope approach to placement of a double lumen endobronchial tube and further characterize potential strengths and weaknesses of this approach. Methods Retrospective cha...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Anesthesiology |
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| Online Access: | https://doi.org/10.1186/s12871-024-02525-6 |
| _version_ | 1797209167535013888 |
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| author | Luiz Maracaja Alexandra Coffield L. Daniela Smith J. David Bradshaw Amit K. Saha Christopher S. McLauglin T. Wesley Templeton |
| author_facet | Luiz Maracaja Alexandra Coffield L. Daniela Smith J. David Bradshaw Amit K. Saha Christopher S. McLauglin T. Wesley Templeton |
| author_sort | Luiz Maracaja |
| collection | DOAJ |
| description | Abstract Background The objective of this study was to evaluate a modern combined video laryngoscopy and flexible fiberoptic bronchoscope approach to placement of a double lumen endobronchial tube and further characterize potential strengths and weaknesses of this approach. Methods Retrospective chart review was conducted at our single institution, academic medical center, tertiary-care hospital. Patients aged 18 years of age or older were evaluated who underwent thoracic surgery and one-lung ventilation with placement of a double lumen endobronchial tube using a novel combined video laryngoscopy and flexible fiberoptic bronchoscope approach. No interventions were performed. Results Demographics and induction and intubation documentation were reviewed for 21 patients who underwent thoracic surgery and one-lung ventilation with placement of a double lumen endobronchial tube using a novel combined video laryngoscopy and flexible fiberoptic bronchoscope approach. First pass success using the combined approach was 86% (18/21). The five patients with an anticipated difficult airway had successful double lumen endobronchial tube placement on the first attempt. There were no instances of desaturation during double lumen endobronchial tube placement. No airway complications related to double lumen endobronchial tube placement were recorded. Conclusion Use of a combined approach employing video laryngoscopy and a flexible fiberoptic bronchoscope may represent a reliable alternative approach to placement of double lumen endobronchial tubes. |
| first_indexed | 2024-04-24T09:50:24Z |
| format | Article |
| id | doaj.art-e52f703ce3bb45439b071228400f61a4 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-04-24T09:50:24Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-e52f703ce3bb45439b071228400f61a42024-04-14T11:27:26ZengBMCBMC Anesthesiology1471-22532024-04-012411710.1186/s12871-024-02525-6A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart reviewLuiz Maracaja0Alexandra Coffield1L. Daniela Smith2J. David Bradshaw3Amit K. Saha4Christopher S. McLauglin5T. Wesley Templeton6Department of Anesthesiology, Duke University School of MedicineDepartment of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-SalemDepartment of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-SalemDepartment of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-SalemDepartment of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-SalemDepartment of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-SalemDepartment of Anesthesiology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-SalemAbstract Background The objective of this study was to evaluate a modern combined video laryngoscopy and flexible fiberoptic bronchoscope approach to placement of a double lumen endobronchial tube and further characterize potential strengths and weaknesses of this approach. Methods Retrospective chart review was conducted at our single institution, academic medical center, tertiary-care hospital. Patients aged 18 years of age or older were evaluated who underwent thoracic surgery and one-lung ventilation with placement of a double lumen endobronchial tube using a novel combined video laryngoscopy and flexible fiberoptic bronchoscope approach. No interventions were performed. Results Demographics and induction and intubation documentation were reviewed for 21 patients who underwent thoracic surgery and one-lung ventilation with placement of a double lumen endobronchial tube using a novel combined video laryngoscopy and flexible fiberoptic bronchoscope approach. First pass success using the combined approach was 86% (18/21). The five patients with an anticipated difficult airway had successful double lumen endobronchial tube placement on the first attempt. There were no instances of desaturation during double lumen endobronchial tube placement. No airway complications related to double lumen endobronchial tube placement were recorded. Conclusion Use of a combined approach employing video laryngoscopy and a flexible fiberoptic bronchoscope may represent a reliable alternative approach to placement of double lumen endobronchial tubes.https://doi.org/10.1186/s12871-024-02525-6One-lung ventilationThoracic anesthesiaDouble lumen endobronchial tubeAirway management |
| spellingShingle | Luiz Maracaja Alexandra Coffield L. Daniela Smith J. David Bradshaw Amit K. Saha Christopher S. McLauglin T. Wesley Templeton A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review BMC Anesthesiology One-lung ventilation Thoracic anesthesia Double lumen endobronchial tube Airway management |
| title | A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review |
| title_full | A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review |
| title_fullStr | A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review |
| title_full_unstemmed | A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review |
| title_short | A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review |
| title_sort | novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope a retrospective chart review |
| topic | One-lung ventilation Thoracic anesthesia Double lumen endobronchial tube Airway management |
| url | https://doi.org/10.1186/s12871-024-02525-6 |
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