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| Name | Class |
|---|---|
| Red Cross Hospital, Hangzhou, China | OTHER |
| The First Affiliated Hospital of Guangzhou Medical University | OTHER |
| Central People's Hospital of Zhanjiang | OTHER |
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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DLT placement performed in lateral position | Experimental | In the lateral position group, patients were positioned laterally (as required for surgery) before anesthesia induction. After anesthesia induction, Double lumen tube placement was performed while the patient remained in the lateral position. |
|
| DLT placement performed in supine position | No Intervention | A double-lumen tube is typically carried out with the patient in the supine position, which is a standard procedure in thoracic surgery. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DLT placement performed in lateral position | Procedure | In the lateral position group, patients were positioned laterally (as required for surgery) before anesthesia induction. After anesthesia induction, Double lumen tube placement was performed while the patient remained in the lateral position. |
| Measure | Description | Time Frame |
|---|---|---|
| Successful First-Pass Intubation | The primary outcome was the success rate of the first DLT intubation attempt. | Periprocedural |
| Measure | Description | Time Frame |
|---|---|---|
| No. of intubation attempts | Number of patients who were successfully intubated on any attempt | Periprocedural |
| Intubation time | Defined as from the time when the laryngoscope passed between the patient's lips until the use of a fiberoptic bronchoscope to confirm the correct positioning of the DLT. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| China | Hangzhou | Zhejiang | 310000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38167877 | Result | Kim H, Seol T, Han SH, Kim H, Hwang JY. A bench study on the prevention of lung-to-lung aspiration with double-lumen endobronchial tubes and bronchial blockers. Sci Rep. 2024 Jan 2;14(1):187. doi: 10.1038/s41598-023-50792-z. | |
| 19752725 | Result | Campos JH. Lung isolation techniques for patients with difficult airway. Curr Opin Anaesthesiol. 2010 Feb;23(1):12-7. doi: 10.1097/ACO.0b013e328331e8a7. |
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The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
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| The Central Hospital of Lishui City |
| OTHER |
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| Periprocedural |
| Interval before surgery | Defined as the time interval between the admission of patients in the operating room and the start of surgery. | Periprocedural |
| p-Peak | peak inspiratory pressure(p-Peak) during mask ventilation, total-lung ventilation(TLV) and one-lung ventilation(OLV) | Periprocedural |
| Flexible bronchoscope usage | the frequency of use of flexible bronchoscope | Periprocedural |
| the incidence of DLT malposition | the incidence of DLT malposition observed by flexible bronchoscope (DLT malposition was defined as movement >1.0 cm to correct the DLT position) | Periprocedural |
| early intubation-related complications | early intubation-related complications (dental injury; hypoxemia; laryngospasm; bronchospasm; airway trauma; arrhythmia, including the salve of ventricular premature beats, ventricular fibrillation, and ventricular tachycardia; oral mucosal injury; and esophageal intubation) | Periprocedural |
| postoperative complications | postoperative complications (sore throat, GRBAS scale, upper-arm discomfort, and nerve injury) | Periprocedural |
| satisfaction scores. | 0 points: dissatisfied, 1 point: satisfied, 2 points: very satisfied. | Periprocedural |
| 20007992 | Result | Brodsky JB. Lung separation and the difficult airway. Br J Anaesth. 2009 Dec;103 Suppl 1:i66-75. doi: 10.1093/bja/aep262. |
| 23975566 | Result | Yang M, Kim JA, Ahn HJ, Choi JW, Kim DK, Cho EA. Double-lumen tube tracheal intubation using a rigid video-stylet: a randomized controlled comparison with the Macintosh laryngoscope. Br J Anaesth. 2013 Dec;111(6):990-5. doi: 10.1093/bja/aet281. Epub 2013 Aug 23. |
| 35461558 | Result | Saji H, Okada M, Tsuboi M, Nakajima R, Suzuki K, Aokage K, Aoki T, Okami J, Yoshino I, Ito H, Okumura N, Yamaguchi M, Ikeda N, Wakabayashi M, Nakamura K, Fukuda H, Nakamura S, Mitsudomi T, Watanabe SI, Asamura H; West Japan Oncology Group and Japan Clinical Oncology Group. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022 Apr 23;399(10335):1607-1617. doi: 10.1016/S0140-6736(21)02333-3. |