Left double lumen tube malposition

Fortier, Ghislain; Côté, Dany; Soucy, Julie; Lelièvre, R.; Bussières, Jean S.

doi:10.1093/bja/aeh599

Cited by 1 publication

(1 citation statement)

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“…The VivaSight DL eliminated the need to reverify the tube's position using fibreoptic bronchoscopy once the patient has been turned into a lateral position for thoracoscopy‐assisted lung lobectomy, because continuous direct observation of the tube's tip relative to the carina is possible. This avoids unintentional displacement of the DLT with hypoxaemia during one‐lung ventilation .…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2015

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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.

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Section: Discussionmentioning

confidence: 99%