Comparison of VivaSight double‐lumen tube with a conventional double‐lumen tube in adult patients undergoing video‐assisted thoracoscopic surgery

Abstract

SummaryThe efficiency of a double-lumen tube depends on its position in the airways, which can be verified by fibreoptic bronchoscopy. The VivaSight DL is a single-use double-lumen tube with a camera embedded in the tube's right side. The view from the camera appears continuously on a monitor. In this prospective study of 71 adult patients, we compared intubation times using either the VivaSight DL or a conventional double-lumen tube. Median (IQR [range]) duration of intubation with visual confirmation of tube position was significantly reduced using the VivaSight DL compared with the conventional double-lumen tube (51 (42-60 [35-118]) s vs 264 (233-325 [160-490]) s, respectively, p < 0.0001). None of the patients allocated to the VivaSight DL required fibreoptic bronchoscopy during intubation or surgery. The VivaSight DL enables significantly more rapid intubation compared with the conventional double-lumen tube.

McGrath Series 5 videolaryngoscope vs Airtraq DL videolaryngoscope for double-lumen tube intubation

“…[5,6] Recently, many different types of video devices have been reported for use in DLT intubation including the GlideScope, [7–11] McGrath Series 5, [12,13] Airtraq, [14,15] CEL-100, [16,17] Pentax Airway Scope, [18] videolaryngoscopes with MAC blade, [19] video stylet, [20,21] and VivaSight-DL. [22,23] …”

Placement of VivaSightTMdouble lumen tube

“…Indeed, whenever the VivaSight camera view is obliterated by secretions or blood there may be a need to use a FOB. In our study, secretions blurred the VivaSight monitor image of the carina in 11/35 patients in the test group [1]. However, the secretions were successfully removed with saline flushes in all cases.…”

“…We thank Hoogenboom et al for their valuable comments on our paper [1]. They are correct to state that only a 37 Fr Vivasight-DL TM (ETView Ltd, Misgav, Israel) was available at the time of study, which we compared with a 37 Fr left DLT Mallinckrodt TM tube (Covidien, Tullamore, Ireland) [1].…”

“…They are correct to state that only a 37 Fr Vivasight-DL TM (ETView Ltd, Misgav, Israel) was available at the time of study, which we compared with a 37 Fr left DLT Mallinckrodt TM tube (Covidien, Tullamore, Ireland) [1]. Since Vivasight-DL is now available in sizes 35, 37, 39, and 41 Fr, we think that the Brodsky criteria [2] could be helpful in selecting the appropriate size of a double-lumen tube (DLT) for a specific patient.…”

“…We thank Hsieh and Hung for their valuable comments on our paper [1]. The intubation difficulty scale (IDS) has previously been used to evaluate the effectiveness of various videolaryngoscopes [2,3] and video stylets [4], and during nasotracheal intubation when modified by the N4 grading of glottic opening according to Ovassapian et al [5] and the N7 grading according to Ono et al [6].…”