Comparison of a modified double-lumen endotracheal tube with a single-lumen tube with enclosed bronchial blocker

Anesthesia and Analgesia
Javier H CamposJ R Moyers

Abstract

This study compared the modified BronchoCath double-lumen endotracheal tube with the Univent bronchial blocker to determine whether there were objective advantages of one over the other during anesthesia with one-lung ventilation (OLV). Forty patients having either thoracic or esophageal procedures were randomly assigned to one of two groups. Twenty patients received a left-side modified BronchoCath double-lumen tube (DLT), and 20 received a Univent tube with a bronchial blocker. The following were studied: 1) time required to position each tube until satisfactory placement was achieved; 2) number of times that the fiberoptic bronchoscope was required; 3) frequency of malpositions after initial placement with fiberoptic bronchoscopy; 4) time required until lung collapse; 5) surgical exposure ranked by surgeons blinded to type of tube used; and 6) cost of tubes per case. No differences were found in: 1) time required to position each tube (DLT 6.2 +/- 3.1 versus Univent 5.4 +/- 4.5 min [mean +/- SD]); 2) number of bronchoscopies per patient (DLT median 2, range 1-3 versus Univent median 3, range 2-5); or 3) time to lung collapse (DLT 7.1 +/- 5.4 versus Univent 12.3 +/- 10.5 min). The frequency of malposition was significantly lo...Continue Reading

Associated Clinical Trials

Apr 25, 2018·Jean BussièresJean Bussières

References

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Citations

Sep 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·G FortierJ S Bussières
Sep 27, 2001·Anesthesiology Clinics of North America·J H Campos
Dec 17, 2005·Critical Care : the Official Journal of the Critical Care Forum·Devanand AnanthamPhilip Eng Cher Tiew
Jul 28, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Steven M Neustein
Apr 14, 2009·Journal of Cardiothoracic and Vascular Anesthesia·Virginie Dumans-NizardMarc Fischler
Aug 21, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Alparslan KusKamil Toker
Sep 10, 2005·Seminars in Cardiothoracic and Vascular Anesthesia·Edwin MirzabeigiAlen Ternian
Oct 23, 2003·Anesthesia and Analgesia·Javier H Campos
Aug 8, 2018·Der Anaesthesist·K M MeggiolaroJ Risse
Nov 26, 2009·Anesthesia and Analgesia·Hao WengDai-Sun Liu

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