1. Comparison of conventional and fibreoptic-guided advance of left-sided double-lumen tube during endobronchial intubation
- Author
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Jin Hee Kim, Jin H. Park, Seong Joo Park, Sung Hee Han, Jin Woo Park, Sung Woo Cho, Ji H. Jo, and Yu K. Bae
- Subjects
medicine.medical_specialty ,Glottis ,medicine.medical_treatment ,Left sided ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Main Bronchus ,Randomized controlled trial ,030202 anesthesiology ,law ,Republic of Korea ,Intubation, Intratracheal ,medicine ,Sore throat ,Humans ,Intubation ,Prospective Studies ,Hoarseness ,business.industry ,030208 emergency & critical care medicine ,Surgery ,Bronchoscopes ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,Relative risk ,medicine.symptom ,business ,Airway - Abstract
BACKGROUND Postoperative sore throat and airway injuries are relatively common after double-lumen tube (DLT) intubation. OBJECTIVE The current study aimed to evaluate the effects of fibreoptic-guided advance of DLT on postoperative sore throat and airway injuries associated with intubation. DESIGN A randomised controlled study. SETTING Tertiary hospital, Seongnam, Korea, from January 2018 to January 2019. PATIENTS One hundred twenty three patients undergoing one-lung ventilation with a left-side DLT were randomised into two groups: 62 in the conventional group and 61 in the fibreoptic-guided group. INTERVENTION After entering the glottis, the DLT was rotated left 90° and advanced blindly into the left main bronchus in the conventional group. In the fibreoptic-guided group, DLT was advanced into the main bronchus under the guide of fibreoptic bronchoscope, which had been passed through the bronchial lumen and inserted into the left main bronchus. MAIN OUTCOME MEASURES The primary outcome was postoperative sore throat at 24 h after operation. The airway injuries were also examined using a bronchoscope during extubation. RESULTS At postoperative 24 h, the fibreoptic-guided group showed lower pain score (P = 0.001) and lower incidence (risk ratio [95% CI]: 0.2 [0.1 to 0.5], P more...
- Published
- 2020
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