Airway Injuries after One-lung Ventilation: A Comparison between Double-lumen Tube and Endobronchial Blocker

Knoll, H.; Ziegeler, Stephan; Schreiber, Jan-Uwe; Buchinger, H.; Bialas, Patric; Semyonov, Kirill; Graeter, Thomas; Mencke, Thomas

doi:10.1097/00000542-200609000-00009

Cited by 224 publications

(190 citation statements)

References 24 publications

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“…Double-lumen endobronchial tubes are commonly used for lung separation and one-lung ventilation and are associated with a higher rate of laryngeal complications, such as postoperative sore throat and hoarseness, compared with single-lumen ETTs. 5,14 The incidence of postoperative sore throat and hoarseness is directly correlated with the size of the ETT. 2,15 The outer diameter of a DLT (13-14 mm for sizes 37 and 39 Fr; 12-13 mm for size 35 Fr) is larger than that of a singlelumen tracheal tube (10.7 mm for 8.0-mm internal diameter [ID]; 10.0 mm for 7.5-mm ID; 9.5 mm for 7.0-mm ID).…”

Section: Discussionmentioning

confidence: 99%

“…4 The double-lumen endobronchial tube (DLT) used for onelung ventilation is more likely to cause a higher incidence of postoperative hoarseness than a bronchial blocker inserted via a standard tracheal tube. 5 Moreover, although silicone DLTs are associated with a lower incidence of sore throat than polyvinyl chloride DLTs, 6 the latter are used routinely in the clinical setting.…”

Section: Résumémentioning

confidence: 99%

See 1 more Smart Citation

Effect of prophylactic benzydamine hydrochloride on postoperative sore throat and hoarseness after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled trial

Chang

Min

Kim

et al. 2015

Can J Anesth/J Can Anesth

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Section: Discussionmentioning

confidence: 99%

Section: Résumémentioning

confidence: 99%

Effect of prophylactic benzydamine hydrochloride on postoperative sore throat and hoarseness after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled trial

Chang

Min

Kim

et al. 2015

Can J Anesth/J Can Anesth

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“…In such cases, bronchial blockers are a reasonable alternative [24]. Furthermore bronchial blockers cause less postoperative sore throat and hoarseness than double-lumen tube [25,26].…”

Section: Discussionmentioning

confidence: 99%

Hemodynamic and Humoral Response to Intubation with Double-lumen Endotracheal Tubes Versus Single-lumen Tubes Combined with an Endobronchial Blocker: A Randomized Clinical Trial

et al. 2014

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Introduction: Insertion of endotracheal tubes, especially large and relatively inflexible doublelumen tubes, provokes cardiovascular and humoral responses which can cause complications. Bronchial blockers, combined with conventional single-lumen tubes (SLT), serve as alternatives to double-lumen tubes (DLT) and may provoke less hemodynamic response. Methods: Forty adults scheduled for elective thoracic surgery requiring single-lung ventilation were randomly assigned to DLT or SLT combined with EZ-Blocker (EZ), a bronchial blocker. Heart rate and arterial blood pressure were recorded before induction of anesthesia, before laryngoscopy, after laryngoscopy, and one minute after intubation. Epinephrine, norepinephrine, and cortisol serum concentrations were assessed one minute after intubation. Results: Pre-laryngoscopy values were comparable in both groups. Mean arterial pressure significantly increased in both groups during intubation. The maximum value during intubation was significantly higher with DLT (121 ± 17 mmHg), compared to bronchial blocker (105 ± 18 mmHg, P=0.022). Heart rate increased significantly during intubation in both groups (DLT from 68 ± 9 to 86 ±11, P<0.001, bronchial blocker from 72 ±11 to 87 ± 16, P=0.002), but the increase did not differ between the groups (P=0.76). Epinephrine, norepinephrine, and cortisol serum concentrations did not increase significantly from baseline values and did not differ between the treatment groups. Conclusion: Insertion of DLT increases blood pressure more than placement of a SLT combined with bronchial blocker. However, the difference is probably not clinically important. Furthermore, there were no significant differences in heart rate or catecholamine concentrations. Clinicians should consider other factors when choosing between airway options for single-lung ventilation. DOI: https://doi.org/10. 4172/2155-6148.1000377 Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-106333 Published Version Originally published at: Nabecker, Sabine; Grubhofer, Georg; Hager, Helmut; Goliasch, Georg; Fischer, Henrik; Bernardi, Martin; Sessler, Daniel I; Rützler, Kurt (2014). Hemodynamic and humoral response to intubation with double-lumen endotracheal tubes versus single-lumen tubes combined with an endobronchial blocker: A randomized clinical trial.

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“…Bu nedenle ÇLT'ler postoperatif boğaz ağrısı ve ses kısıklığından, trakea ve bronş rüptürüne kadar giden komplikasyonlara neden olabilirler [31,32] . BB'lere ait komplikasyonlar ise daha çok yapısal özellikleriyle ilgilidir.…”

Section: Komplikasyonlarunclassified

Does the Future Belong to Bronchial Blockers?

Hoşten¹,

Aksu²

2014

GKDA Derg

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Airway Injuries after One-lung Ventilation: A Comparison between Double-lumen Tube and Endobronchial Blocker

Abstract: Clinicians should be aware of an increased incidence of minor airway injuries that may impair patient satisfaction when using a double-lumen tube instead of an endobronchial blocker for one-lung ventilation.

Cited by 224 publications

References 24 publications

Effect of prophylactic benzydamine hydrochloride on postoperative sore throat and hoarseness after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled trial

Effect of prophylactic benzydamine hydrochloride on postoperative sore throat and hoarseness after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled trial

Hemodynamic and Humoral Response to Intubation with Double-lumen Endotracheal Tubes Versus Single-lumen Tubes Combined with an Endobronchial Blocker: A Randomized Clinical Trial

Does the Future Belong to Bronchial Blockers?

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