Easier double-lumen tube placement using real-time video laryngoscopy and wireless video fiberoptic bronchoscopy

Lai, Hou-Chuan

doi:10.1016/j.jclinane.2018.12.023

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Generally, the advancement of the double lumen, endobronchial tube through the airway tended to be smoother with the use of the combined approach, a result of the bronchoscope keeping the tube in the center of the airway, lessening the chance of the tip leading to tracheal or bronchial mucosal abrasions. Interestingly, although fiberoptic bronchoscopy is generally considered the gold standard for confirmation of proper positioning of double lumen, endobronchial tubes, there is a relative paucity of literature describing the use of a bronchoscope to aid with double lumen endobronchial tube placement during intubation [12][13][14][15]. Hou-Chuan et al describe an approach that uses both video laryngoscopy and fiberoptic bronchoscopy, with introduction of the fiberoptic scope into the tracheal lumen of the double lumen tube rather than the bronchial lumen [12].…”

Section: Discussionmentioning

confidence: 99%

“…Interestingly, although fiberoptic bronchoscopy is generally considered the gold standard for confirmation of proper positioning of double lumen, endobronchial tubes, there is a relative paucity of literature describing the use of a bronchoscope to aid with double lumen endobronchial tube placement during intubation [12][13][14][15]. Hou-Chuan et al describe an approach that uses both video laryngoscopy and fiberoptic bronchoscopy, with introduction of the fiberoptic scope into the tracheal lumen of the double lumen tube rather than the bronchial lumen [12]. This approach permits direct visualization of the advancement of the bronchial lumen into the desired mainstem bronchus.…”

Section: Discussionmentioning

confidence: 99%

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A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review

Maracaja,

Coffield,

Smith

et al. 2024

BMC Anesthesiol

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Background The objective of this study was to evaluate a modern combined video laryngoscopy and flexible fiberoptic bronchoscope approach to placement of a double lumen endobronchial tube and further characterize potential strengths and weaknesses of this approach. Methods Retrospective chart review was conducted at our single institution, academic medical center, tertiary-care hospital. Patients aged 18 years of age or older were evaluated who underwent thoracic surgery and one-lung ventilation with placement of a double lumen endobronchial tube using a novel combined video laryngoscopy and flexible fiberoptic bronchoscope approach. No interventions were performed. Results Demographics and induction and intubation documentation were reviewed for 21 patients who underwent thoracic surgery and one-lung ventilation with placement of a double lumen endobronchial tube using a novel combined video laryngoscopy and flexible fiberoptic bronchoscope approach. First pass success using the combined approach was 86% (18/21). The five patients with an anticipated difficult airway had successful double lumen endobronchial tube placement on the first attempt. There were no instances of desaturation during double lumen endobronchial tube placement. No airway complications related to double lumen endobronchial tube placement were recorded. Conclusion Use of a combined approach employing video laryngoscopy and a flexible fiberoptic bronchoscope may represent a reliable alternative approach to placement of double lumen endobronchial tubes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review

Maracaja,

Coffield,

Smith

et al. 2024

BMC Anesthesiol

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“…If the glottic view is adequate, but guiding the tip of the DLT into the glottis or advancing the tube pass through the glottis is difficult, videolaryngoscopy combined with FOB may be an effective approach. In the study by Imajo et al ( 87 ), Lai and Wu ( 90 ), a fibreoptic bronchoscope was used as a stylet and placed through the bronchial lumen. Under videolaryngoscopy observation, they guided the tip of the tube to the glottis using FOB and facilitated DLT intubation.…”

Section: Choices Of Videolaryngoscope In Managing Difficult Airways I...mentioning

confidence: 99%

Recent Advances in Videolaryngoscopy for One-Lung Ventilation in Thoracic Anesthesia: A Narrative Review

Yao

Li²,

Zhang³

et al. 2022

Front. Med.

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Since their advent, videolaryngoscopes have played an important role in various types of airway management. Lung isolation techniques are often required for thoracic surgery to achieve one-lung ventilation with a double-lumen tube (DLT) or bronchial blocker (BB). In the case of difficult airways, one-lung ventilation is extremely challenging. The purpose of this review is to identify the roles of videolaryngoscopes in thoracic airway management, including normal and difficult airways. Extensive literature related to videolaryngoscopy and one-lung ventilation was analyzed. We summarized videolaryngoscope-guided DLT intubation techniques and discussed the roles of videolaryngoscopy in DLT intubation in normal airways by comparison with direct laryngoscopy. The different types of videolaryngoscopes for DLT intubation are also compared. In addition, we highlighted several strategies to achieve one-lung ventilation in difficult airways using videolaryngoscopes. A non-channeled or channeled videolaryngoscope is suitable for DLT intubation. It can improve glottis exposure and increase the success rate at the first attempt, but it has no advantage in saving intubation time and increases the incidence of DLT mispositioning. Thus, it is not considered as the first choice for patients with anticipated normal airways. Current evidence did not indicate the superiority of any videolaryngoscope to another for DLT intubation. The choice of videolaryngoscope is based on individual experience, preference, and availability. For patients with difficult airways, videolaryngoscope-guided DLT intubation is a primary and effective method. In case of failure, videolaryngoscope-guided single-lumen tube (SLT) intubation can often be achieved or combined with the aid of fibreoptic bronchoscopy. Placement of a DLT over an airway exchange catheter, inserting a BB via an SLT, or capnothorax can be selected for lung isolation.

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A modified strategy for one-lung ventilation in a patient with tracheal bronchus and difficult airway

Lai

Chen

2020

J Med Sci

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Easier double-lumen tube placement using real-time video laryngoscopy and wireless video fiberoptic bronchoscopy

Cited by 4 publications

References 4 publications

A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review

A novel combined approach to placement of a double lumen endobronchial tube using a video laryngoscope and fiberoptic bronchoscope: a retrospective chart review

Recent Advances in Videolaryngoscopy for One-Lung Ventilation in Thoracic Anesthesia: A Narrative Review

A modified strategy for one-lung ventilation in a patient with tracheal bronchus and difficult airway

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