Sequential rotation to insert a left double-lumen endotracheal tube using the GlideScope®

Bustamante, Sergio; Parra-Sánchez, Iván; Apostolakis, John

doi:10.1007/s12630-009-9243-2

Cited by 30 publications

(45 citation statements)

References 5 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…None of the subjects experienced serious complications associated with intubation. The main difficulty in DLT intubation was found to be advancing the DLT further once its tip had passed through the vocal cords, similar to reports using the Glidescope [1,9] …”

Section: S M Whitesupporting

confidence: 79%

“…[1,8], the DLT was curved by a malleable stylet, which was removed when the DLT's distal tip passed through the vocal cords. Sequential rotation or a 'left to right' rotation was performed to facilitate passage of the bronchial cuff and tracheal lumen through vocal cords [1,2,9]. The tube was further rotated to align the bronchial tip of DLT with the left main bronchus.…”

mentioning

confidence: 99%

See 1 more Smart Citation

McGrath^® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

Yao

Wang

et al. 2014

Anaesthesia

View full text Add to dashboard Cite

Section: S M Whitesupporting

confidence: 79%

mentioning

confidence: 99%

McGrath^® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

Yao

Wang

et al. 2014

Anaesthesia

View full text Add to dashboard Cite

“…In recent years, videolaryngoscopic devices have been introduced as important tools in the management of patients with expected or unexpected difficult airways and emergent airway management [12,13]. Videolaryngoscopes, such as the GlideScope (Verathon, Bothell, WA), Pentax-AWS Airwayscope (Pentax, Tokyo, Japan), and Airtraq (Prodol, Las Arenas, Spain), incorporate acute blade and introduce designs with angles greater than the traditional McL design [14,15]. One retrospective study demonstrated that videolaryngoscopes are superior to the McL for DLT intubation [16].…”

Section: Discussionmentioning

confidence: 99%

Comparison of McGRATH MAC and Macintosh laryngoscopes for double-lumen endotracheal tube intubation by anesthesia residents: a prospective randomized clinical trial

Kido¹,

Komasawa²,

Matsunami³

et al. 2015

Journal of Clinical Anesthesia

View full text Add to dashboard Cite

“…In the TOE group, the distal 8–10 cm portion of a left-sided DLT (Broncho-Cath ® ; Mallinckrodt, St. Louis, MO) was angulated approximately 90° to the left using the bespoke DLT-malleable stylet (Mallinckrodt) inserted through the bronchial lumen (Figure 1A) [8]. In the TOC group, the distal portion of a left-sided DLT was angulated to the right to obscure the distal orifice of the tracheal lumen (Figure 1B).…”

Section: Methodsmentioning

confidence: 99%

“…This may be a consequence not only of the larger size and more complex structure of the DLT, but also of intubation technique. Bustamante and colleagues reported that sequential rotation of the DLT facilitated its advancement into the trachea [8], but a method of angulation has also been reported [9]. …”

Section: Introductionmentioning

confidence: 99%

A modified technique to improve the outcome of intubation with a left-sided double-lumen endobronchial tube

Hsu

Chou

et al. 2014

BMC Anesthesiol

View full text Add to dashboard Cite

BackgroundThe use of a video-assisted laryngoscope (VL) has been shown to reduce the time to achieve intubation with a double-lumen endobronchial tube (DLT). As the blade of the VL is curved differently to a standard laryngoscope, the DLT must be angled into a hockey stick shape to fit properly. We conducted a study to establish which direction of angulation was best to facilitate correct positioning of the DLT when using a VL.MethodsWe enrolled patients scheduled for thoracic surgery who required intubation with a DLT. They were prospectively randomized into one of two groups: those intubated with a DLT angled to conceal the tracheal orifice (the tracheal orifice-covered, TOC) group or the tracheal orifice-exposed (TOE) group. The composite primary outcome measures were time taken to intubate and the frequency of first-time success. The time taken to intubate was divided into: T1, the time from mouth opening to visualization of the vocal cords with the VL; and T2, the time taken to advance the DLT through the cords until its tip lay within the trachea and three carbon dioxide waveforms had been detected by capnography. The hemodynamic responses to intubation and intubation-related adverse events were also recorded.ResultsSixty-six patients completed the study, with 33 in each group. Total intubation time was significantly shorter in the TOC group (mean 30.6 ± standard deviation 2.7 seconds versus 38.7 ± 3.3 seconds, p <0.0001). T2 was also significantly shorter in the TOC group than the TOE group (27.2 ± 2.5 seconds versus 34.9 ± 3.0 seconds, p <0.0001). The severity of hoarseness on the first postoperative day and sore throat on the fourth postoperative day were significantly lower in the TOC group than the TOE group (p = 0.02 and <0.0001, respectively). The hemodynamic responses to intubation were broadly similar between the groups.ConclusionWhen placing a left-sided DLT using a VL, angling the bronchial lumen to a hockey stick shape that conceals the tracheal lumen saves time and ameliorates the severity of post-intubation complications.Trial registrationClinicalTrials.gov Identifier: NCT01605591.

show abstract

Sequential rotation to insert a left double-lumen endotracheal tube using the GlideScope®

Cited by 30 publications

References 5 publications

McGrath^® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

McGrath^® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

Comparison of McGRATH MAC and Macintosh laryngoscopes for double-lumen endotracheal tube intubation by anesthesia residents: a prospective randomized clinical trial

A modified technique to improve the outcome of intubation with a left-sided double-lumen endobronchial tube

Contact Info

Product

Resources

About

Sequential rotation to insert a left double-lumen endotracheal tube using the GlideScope®

Cited by 30 publications

References 5 publications

McGrath® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

McGrath® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

Comparison of McGRATH MAC and Macintosh laryngoscopes for double-lumen endotracheal tube intubation by anesthesia residents: a prospective randomized clinical trial

A modified technique to improve the outcome of intubation with a left-sided double-lumen endobronchial tube

Contact Info

Product

Resources

About

McGrath^® series 5 videolaryngoscope evaluation for double‐lumen tube intubation

McGrath^® series 5 videolaryngoscope evaluation for double‐lumen tube intubation