Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study
Abstarct Background The optimal positioned double-lumen endotracheal tubes (DLT) is crucial in thoracic surgery requiring lung isolation. This study aims to compare the accuracy and complication rates of DLT placement using videolaryngoscopy (VL) versus conventional direct laryngoscopy (DL). Methods...
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03239-z |
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| author | Soner Kına Güntuğ Batıhan Ihsan Topaloglu Huseyin Turkan |
| author_facet | Soner Kına Güntuğ Batıhan Ihsan Topaloglu Huseyin Turkan |
| author_sort | Soner Kına |
| collection | DOAJ |
| description | Abstarct Background The optimal positioned double-lumen endotracheal tubes (DLT) is crucial in thoracic surgery requiring lung isolation. This study aims to compare the accuracy and complication rates of DLT placement using videolaryngoscopy (VL) versus conventional direct laryngoscopy (DL). Methods This retrospective single-center study included 89 patients who underwent thoracic surgery with DLT placement between July 2023 and May 2024. Patients were divided into two groups: VL (n = 45) and DL (n = 44). Patient characteristics, intubation times, malposition rates, and complications were recorded. DLT position was confirmed using fiberoptic bronchoscopy. Results The incidence of DLT malposition was significantly lower in the VL group (13.3%) compared to the DL group (31.8%) (p = 0.037). The overall complication rate was also lower in the VL group (4.4%) compared to the DL group (11.4%) (p = 0.024). The mean time from anesthesia induction to the first incision was shorter in the VL group (25.2 ± 6.1 min) than in the DL group (28.3 ± 6.5 min) (p = 0.02). Conclusions VL significantly reduces the incidence of DLT malposition and associated complications in thoracic surgery compared to DL. The improved visualization and multiple blade options of the C-MAC videolaryngoscopy set likely contribute to these findings. Further research is warranted to confirm these results in larger, multicenter studies. Trial registration Institutional Review Board (Registration number: 80576354-050-99/437, 27.06.2024). |
| format | Article |
| id | doaj-art-65be7c1866c5455abcc7b46110f021cd |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-65be7c1866c5455abcc7b46110f021cd2025-01-05T12:45:40ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011610.1186/s13019-024-03239-zVideolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center studySoner Kına0Güntuğ Batıhan1Ihsan Topaloglu2Huseyin Turkan3Department of Anesthesiology, Kafkas University Medical FacultyDepartment of Thoracic Surgery, Kafkas University Medical FacultyDepartment of Chest Diseases, Kafkas University Medical FacultyDepartment of Anesthesiology, Kafkas University Medical FacultyAbstarct Background The optimal positioned double-lumen endotracheal tubes (DLT) is crucial in thoracic surgery requiring lung isolation. This study aims to compare the accuracy and complication rates of DLT placement using videolaryngoscopy (VL) versus conventional direct laryngoscopy (DL). Methods This retrospective single-center study included 89 patients who underwent thoracic surgery with DLT placement between July 2023 and May 2024. Patients were divided into two groups: VL (n = 45) and DL (n = 44). Patient characteristics, intubation times, malposition rates, and complications were recorded. DLT position was confirmed using fiberoptic bronchoscopy. Results The incidence of DLT malposition was significantly lower in the VL group (13.3%) compared to the DL group (31.8%) (p = 0.037). The overall complication rate was also lower in the VL group (4.4%) compared to the DL group (11.4%) (p = 0.024). The mean time from anesthesia induction to the first incision was shorter in the VL group (25.2 ± 6.1 min) than in the DL group (28.3 ± 6.5 min) (p = 0.02). Conclusions VL significantly reduces the incidence of DLT malposition and associated complications in thoracic surgery compared to DL. The improved visualization and multiple blade options of the C-MAC videolaryngoscopy set likely contribute to these findings. Further research is warranted to confirm these results in larger, multicenter studies. Trial registration Institutional Review Board (Registration number: 80576354-050-99/437, 27.06.2024).https://doi.org/10.1186/s13019-024-03239-zDirect laryngoscopyDouble-lumen endotracheal tubeMalpositionVideolaryngoscopy |
| spellingShingle | Soner Kına Güntuğ Batıhan Ihsan Topaloglu Huseyin Turkan Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study Journal of Cardiothoracic Surgery Direct laryngoscopy Double-lumen endotracheal tube Malposition Videolaryngoscopy |
| title | Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study |
| title_full | Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study |
| title_fullStr | Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study |
| title_full_unstemmed | Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study |
| title_short | Videolaryngoscopy is associated with a lower rate of double-lumen endotracheal tube malposition in thoracic surgery procedures, retrospective single-center study |
| title_sort | videolaryngoscopy is associated with a lower rate of double lumen endotracheal tube malposition in thoracic surgery procedures retrospective single center study |
| topic | Direct laryngoscopy Double-lumen endotracheal tube Malposition Videolaryngoscopy |
| url | https://doi.org/10.1186/s13019-024-03239-z |
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