A Simulator Study of Tube Exchange with Three Different Designs of Double-Lumen Tubes

Gamez, Ryan; Slinger, Peter

doi:10.1213/ane.0000000000000250

Cited by 12 publications

(11 citation statements)

References 7 publications

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“…We recruited 33 publications demonstrating the use of different VL for placement of DLT. [ 5 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 ]…”

Section: Resultsmentioning

confidence: 99%

“…In addition, the type of DLT design can play a role in facilitating the placement of DLT over an AEC using a GlideScope ® . [ 10 ] The Fuji-Phycon DLT (Silbroncho ® , Fuji Systems, Tokyo, Japan) was found to be easier to pass over an AEC compared with both the Rusch (Bronchopart ® , Teleflex, Research Triangle Park, NC) and Mallinckrodt (Broncho-Cath ® , Covidien, Mansfield, MA) DLT warrants consideration in patients with difficult airway [ Table 1 ]. [ 10 ] The flexibility and the 45° angulated distal bevel of the reinforced bronchial lumen of the Fuji-Phycon DLT can potentially facilitating passage of the DLT into the glottis.…”

Section: Resultsmentioning

confidence: 99%

“…[ 10 ] The Fuji-Phycon DLT (Silbroncho ® , Fuji Systems, Tokyo, Japan) was found to be easier to pass over an AEC compared with both the Rusch (Bronchopart ® , Teleflex, Research Triangle Park, NC) and Mallinckrodt (Broncho-Cath ® , Covidien, Mansfield, MA) DLT warrants consideration in patients with difficult airway [ Table 1 ]. [ 10 ] The flexibility and the 45° angulated distal bevel of the reinforced bronchial lumen of the Fuji-Phycon DLT can potentially facilitating passage of the DLT into the glottis. In contrast, the Rusch and Mallinckrodt DLTs have a bronchial end that is cut perpendicular to the axis of the tube (i.e., a square cut) or with a very short bevel, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…In contrast, the Rusch and Mallinckrodt DLTs have a bronchial end that is cut perpendicular to the axis of the tube (i.e., a square cut) or with a very short bevel, respectively. [ 10 ]…”

Section: Resultsmentioning

confidence: 99%

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Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

El-Tahan

2016

Saudi J Anaesth

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The advances in thoracic procedures require optimum lung separation to provide adequate room for surgical access. This can be achieved using either a double-lumen tube (DLT) or a bronchial blocker (BB). Most thoracic anesthesiologists prefer the use of DLT. However, lung separation in patients with potential difficult airway can be achieved using either BB through a single lumen tube or placement of a DLT over a tube exchanger or a fiberoptic bronchoscope. Numerous videolaryngoscopes (VL) have been introduced offering both optical and video options to visualize the glottis. Many studies reported improved glottis visualization and easier DLT intubation in patients with normal and potential difficult airway. However, these studies have a wide diversity of outcomes, which may be attributed to the differences in their designs and the prior experience of the operators in using the different devices. In the present review, we present the main outcomes of the available publications, which have addressed the use of VL-guided DLT intubation. Currently, there is enough evidence supporting using VL for DLT intubation in patients with predicted and unanticipated difficult airway. In conclusion, the use of VL could offer an effective method of DLT placement for lung separation in patients with the potential difficult airway.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…In contrast, the Rusch and Mallinckrodt DLTs have a bronchial end that is cut perpendicular to the axis of the tube (i.e., a square cut) or with a very short bevel, respectively. [ 10 ]…”

Section: Resultsmentioning

confidence: 99%

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Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

El-Tahan

2016

Saudi J Anaesth

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“…However, previous works showed that adjunct laryngoscopy for this procedure may assist with not only continuous glottis viewing, but also clearing the pathway for AEC (16). In fact, adjunct video laryngoscopy may result in better glottis viewing and fewer airway complications (16,17). If resistance of AEC is encountered during removing a DLT, as in this patient, performing adjunct video laryngoscopy to inspect the paraglottic structures during this procedure is necessary.…”

Section: Discussionmentioning

confidence: 99%

Bronchial lumen is the safer route for an airway exchange catheter in double-lumen tube replacement: preventable complication in airway management for thoracic surgery

Wu¹,

Tai²,

Wei³

et al. 2017

J. Thorac. Dis.

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There is no current consensus on which lumen an airway exchange catheter (AEC) should be passed through in double-lumen endotracheal tube (DLT) to exchange for a single-lumen endotracheal tube (SLT) after thoracic surgery. We report an unusual case to provide possible solution on this issue. A 71-year-old man with lung adenocarcinoma had an event of a broken exchange catheter used during a DLT replacement with a SLT, after a video-assisted thoracic surgery. The exchange catheter was impinged at the distal tracheal lumen and snapped during manipulation. All three segments of the catheter were retrieved without further airway compromises. Placement of airway tube exchanger into the tracheal lumen of doublelumen tube is a potential contributing factor of the unusual complication. We suggest an exchange catheter be inserted into the bronchial lumen in optimal depth with the adjunct of video laryngoscope, as the safe method for double-lumen tube exchange.

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Lung Isolation in Patients with Difficult Airways

Tran

Popescu

2019

Principles and Practice of Anesthesia for Thoracic Surgery

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A Simulator Study of Tube Exchange with Three Different Designs of Double-Lumen Tubes

Abstract: The Fuji-Phycon DLT was easier to pass over an AEC in this simulator trial and warrants consideration in patients with difficult airways who require 1-lung ventilation.

Cited by 12 publications

References 7 publications

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

Videolaryngoscopes for placement of double lumen tubes: Is it time to say goodbye to direct view?

Bronchial lumen is the safer route for an airway exchange catheter in double-lumen tube replacement: preventable complication in airway management for thoracic surgery

Lung Isolation in Patients with Difficult Airways

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