A Comparison of the Efficacy and Adverse Effects of Double-Lumen Endobronchial Tubes and Bronchial Blockers in Thoracic Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Journal of Cardiothoracic and Vascular Anesthesia
Ana Clayton-SmithJay Tan

Abstract

To compare the efficacy and adverse effects of using bronchial blockers (BBs) and double-lumen endobronchial tubes (DLTs). Systematic review and meta-analysis of randomized controlled trials (RCTs) comparing BBs and DLTs. Hospital units undertaking thoracic surgery Patients undergoing thoracic surgery requiring lung isolation. BBs and DLTs. A systematic literature search was conducted for RCTs comparing BBs and DLTs using Google Scholar, Ovid Medline, and Cochrane library databases up to October 2013. Inclusion criteria were RCTs comparing BBs and DLTs, intubation carried out by qualified anesthesiologists or trainee specialists, outcome measures relating to either efficacy or adverse effects. Studies that were inaccessible in English were excluded. Mantel-Haenszel fixed-effect meta-analysis of recurring outcome measures was performed using RevMan 5 software. The search produced 39 RCTs published between 1996 and 2013. DLTs were quicker to place (mean difference: 51 seconds, 95% confidence intervals [CI] 8-94 seconds; p = 0.02) and less likely to be incorrectly positioned (odds ratio [OR] 2.70; 95% CI 1.18-6.18, p = 0.02) than BBs. BBs were associated with fewer patients having a postoperative sore throat (OR 0.39, 95% CI: 0.23...Continue Reading

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Citations

Mar 8, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Anne N HuitemaBenedikt Preckel
May 10, 2016·Anaesthesia·K El-BoghdadlyM D Wiles
May 1, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Edmond Cohen
Jun 2, 2016·Der Anaesthesist·J DefosseM U Gerbershagen
Sep 7, 2016·Journal of Cardiothoracic and Vascular Anesthesia·David FalzonKatriona Montgomery
Jun 13, 2017·Tumori·Filippo Bernasconi, Federico Piccioni
Dec 1, 2017·Anesthesia and Analgesia·Stephen R CollinsRandal S Blank
Aug 8, 2018·Der Anaesthesist·K M MeggiolaroJ Risse
Sep 15, 2018·Anaesthesia·N P SinghP M Singh
May 23, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alana M Flexman, Laura V Duggan
Oct 1, 2019·Current Opinion in Anaesthesiology·Julien Raft, Philippe Richebé
May 21, 2020·Annals of Surgery·George RakovichHan Ting Wang
Jan 18, 2019·Experimental and Therapeutic Medicine·Juntao WangChunqin Chu
Sep 15, 2018·Experimental and Therapeutic Medicine·Gaowang LiuJinfang Xiao
Sep 26, 2019·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Karl GrenierShree Bhalerao
Aug 23, 2017·British Journal of Sports Medicine·Brian HainlineLars Engebretsen
Sep 28, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Man-Ling WangYa-Jung Cheng
Oct 12, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Timothy J P BatchelorBabu Naidu
Jan 10, 2020·Anesthesiology Research and Practice·Niels HeglandAlexander Dullenkopf
Dec 13, 2018·Current Opinion in Anaesthesiology·Ming-Hui HungYa-Jung Cheng
Nov 11, 2019·BMC Pulmonary Medicine·Chuncheng ZhangZhenxiang Pan
Jul 18, 2020·Annals of Surgery·George RakovichHan Ting Wang
Sep 12, 2019·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Yi-Chia WangYa-Jung Cheng
Oct 28, 2020·Perioperative Medicine·Federico PiccioniUNKNOWN AIPO, Associazione Italiana Pneumologi Ospedalieri; SIAARTI, Società Italiana di Anestesia Analgesia Rianimazione Terapia In
Feb 18, 2021·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Olivier MoreaultJean S Bussières
Jul 1, 2020·Thoracic Surgery Clinics·Melina Shoni, Gerardo Rodriguez
Oct 14, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Manoj H IyerAmar Bhatt
Sep 8, 2018·Journal of Cardiothoracic and Vascular Anesthesia·Javier H CamposKenichi Ueda
Nov 17, 2021·Anesthesia and Analgesia·Edmond Cohen

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