The effects of video double-lumen tubes on intubation complications in patients undergoing thoracic surgery: A randomised controlled study.
Eur J Anaesthesiol
; 41(4): 305-313, 2024 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-38298060
ABSTRACT
BACKGROUND:
Tracheal injuries, vocal cord injuries, sore throat and hoarseness are common complications of double-lumen tube (DLT) intubation.OBJECTIVE:
This study aimed to evaluate the effects of 'video double-lumen tubes' (VDLTs) on intubation complications in patients undergoing thoracic surgery.DESIGN:
A randomised controlled study. SETTINGT Xuzhou Cancer Hospital, Xuzhou, China, from January 2023 to June 2023. PATIENTS One hundred eighty-two patients undergoing elective thoracic surgery with one-lung ventilation were randomised into two groups 90 in the DLT group and 92 in the VDLT group. INTERVENTION VDLT was selected for intubation in the VDLT group, and DLT was selected for intubation in the DLT group. A fibreoptic bronchoscope (FOB) was used to record tracheal and vocal cord injuries. MAIN OUTCOMEMEASURES:
The primary outcomes were the incidence of moderate-to-severe tracheal injury and the incidence of vocal cord injury. The secondary outcomes included the incidence and severity of postoperative 24 and 48âh sore throat and hoarseness.RESULTS:
The incidence of moderate-to-severe tracheal injury was 32/90 (35.6%) in the DLT group, and 45/92 (48.9%) in the VDLT group ( P â=â0.077; relative risk 1.38, 95% CI, 0.97 to 1.95). The incidence of vocal cord injury was 31/90 (34.4%) and 34/92 (37%) in the DLT and VDLT groups, respectively ( P â=â0.449). The incidence of postoperative 24âh sore throat and hoarseness was significantly higher in the VDLT group than in the DLT group (for sore throat P â=â0.032, relative risk 1.63, 95% CI, 1.03 to 2.57; for hoarseness P â=â0.018, relative risk 1.48, 95% CI, 1.06 to 2.06).CONCLUSION:
There was no statistically significant difference in the incidence of moderate-to-severe tracheal injury and vocal cord injury between DLTs and VDLTs. While improving the first-attempt success rate, intubation with VDLT increased the incidence of postoperative 24âh sore throat and hoarseness. TRIAL REGISTRATION Chinese Clinical Trial Registry identifier ChiCTR2300067348.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirugía Torácica
/
Faringitis
/
Procedimientos Quirúrgicos Torácicos
Tipo de estudio:
Clinical_trials
/
Etiology_studies
Límite:
Humans
Idioma:
En
Revista:
Eur J Anaesthesiol
Asunto de la revista:
ANESTESIOLOGIA
Año:
2024
Tipo del documento:
Article