Comparison of conventional and fibreoptic-guided advance of left-sided double-lumen tube during endobronchial intubation
| Autor: | Jin Hee Kim, Jin H. Park, Seong Joo Park, Sung Hee Han, Jin Woo Park, Sung Woo Cho, Ji H. Jo, Yu K. Bae |
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| Rok vydání: | 2020 |
| Předmět: |
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 |
| Zdroj: | European Journal of Anaesthesiology. |
| ISSN: | 0265-0215 0336-8599 |
| DOI: | 10.1097/eja.0000000000001216 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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