Comparing the rate of fiberoptic bronchoscopy use with a video double lumen tube versus a conventional double lumen tube-a randomized controlled trial
2020 Journal of Thoracic Disease. All rights reserved..
BACKGROUND: Double lumen endotracheal tubes (DLT) are commonly used to provide single lung ventilation during thoracic surgery. A fiberoptic bronchoscope (FOB) is typically used to confirm accurate DLT placement. Accounting for initial purchase, maintenance, repair and cleaning, the use of an FOB can cost as much as $312 per procedure. The VivaSight DLT (VS-DLT) incorporates a built-in camera, which is aimed at reducing FOB use and its associated costs. In this study, we compared the rate of FOB use when intubating using either a VS-DLT or a conventional DLT (c-DLT).
METHODS: This is a randomized controlled comparative study performed at a public county teaching hospital. A total of 50 patients were enrolled and randomly assigned to either a c-DLT (n=25) or a VS-DLT (n=25). The primary outcome was the rate of FOB use. Secondary outcomes included time to correct tube placement and incidence of malposition during surgery.
RESULTS: Use of the VS-DLT required significantly less FOB use (28%) compared to use of the c-DLT (100%). While there was no difference in the ease of intubation, the time to correct tube placement was significantly faster using a VS-DLT (54 vs. 156 s, P<0.001). Additionally, the incidence of tube malposition was significantly reduced in the VS-DLT group.
CONCLUSIONS: This study demonstrated a significantly lower rate of FOB use when using a VS-DLT compared to a c-DLT. Placement of the VS-DLT was significantly quicker and malposition during surgery occurred significantly less than with the c-DLT. While intubating with a VS-DLT provides clinical benefits, it may not result in significant cost reductions when compared to a c-DLT.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
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| Enthalten in: |
Journal of thoracic disease - 12(2020), 11 vom: 28. Nov., Seite 6533-6541 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Onifade, Akinjide [VerfasserIn] |
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| Links: |
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| Themen: |
Double lumen tube |
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| Anmerkungen: |
Date Revised 18.04.2022 published: Print Citation Status PubMed-not-MEDLINE |
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| doi: |
10.21037/jtd-20-1595 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM318482347 |
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| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a 2020 Journal of Thoracic Disease. All rights reserved. | ||
| 520 | |a BACKGROUND: Double lumen endotracheal tubes (DLT) are commonly used to provide single lung ventilation during thoracic surgery. A fiberoptic bronchoscope (FOB) is typically used to confirm accurate DLT placement. Accounting for initial purchase, maintenance, repair and cleaning, the use of an FOB can cost as much as $312 per procedure. The VivaSight DLT (VS-DLT) incorporates a built-in camera, which is aimed at reducing FOB use and its associated costs. In this study, we compared the rate of FOB use when intubating using either a VS-DLT or a conventional DLT (c-DLT) | ||
| 520 | |a METHODS: This is a randomized controlled comparative study performed at a public county teaching hospital. A total of 50 patients were enrolled and randomly assigned to either a c-DLT (n=25) or a VS-DLT (n=25). The primary outcome was the rate of FOB use. Secondary outcomes included time to correct tube placement and incidence of malposition during surgery | ||
| 520 | |a RESULTS: Use of the VS-DLT required significantly less FOB use (28%) compared to use of the c-DLT (100%). While there was no difference in the ease of intubation, the time to correct tube placement was significantly faster using a VS-DLT (54 vs. 156 s, P<0.001). Additionally, the incidence of tube malposition was significantly reduced in the VS-DLT group | ||
| 520 | |a CONCLUSIONS: This study demonstrated a significantly lower rate of FOB use when using a VS-DLT compared to a c-DLT. Placement of the VS-DLT was significantly quicker and malposition during surgery occurred significantly less than with the c-DLT. While intubating with a VS-DLT provides clinical benefits, it may not result in significant cost reductions when compared to a c-DLT | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Single lung ventilation | |
| 650 | 4 | |a VivaSight | |
| 650 | 4 | |a double lumen tube | |
| 650 | 4 | |a thoracic surgery | |
| 700 | 1 | |a Lemon-Riggs, Dlorean |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Aaron |e verfasserin |4 aut | |
| 700 | 1 | |a Pak, Taylor |e verfasserin |4 aut | |
| 700 | 1 | |a Pruszynski, Jessica |e verfasserin |4 aut | |
| 700 | 1 | |a Reznik, Scott |e verfasserin |4 aut | |
| 700 | 1 | |a Moon, Tiffany S |e verfasserin |4 aut | |
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