Efficacy of bronchofiberscope double-lumen tracheal tube intubation combined with McGRATH MAC for difficult airway

Imajo, Yukihiro; Komasawa, Nobuyasu; Minami, Toshiaki

doi:10.1016/j.jclinane.2015.03.012

Cited by 8 publications

(5 citation statements)

References 2 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%

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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%

“…Imajo et al . [ 20 ] described the successful use of a fiberoptic bronchoscope alongside a McGrath ® VL for placement of a DLT in an elderly woman who had a predicted anatomically difficult airway after failed trials of combined use of the McGrath ® and a gum elastic bougie.…”

Section: Resultsmentioning

confidence: 99%

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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“…Our study additionally demonstrated that the tracheal tube introducer can be applied to cases of difficult ProSeal insertion. To facilitate positioning of the tracheal tube introducer into the esophagus, we used the McGRATH videolaryngoscope, which provided a good laryngeal view [3,4]. Use of the videolaryngoscope prevented unnecessary injuries and migration of the introducer.…”

Section: Discussionmentioning

confidence: 99%

Successful LMA-ProSeal insertion using a tracheal tube introducer in a patient with severe rheumatoid arthritis

Kido

Komasawa

Deguchi

et al. 2016

Journal of Clinical Anesthesia

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“…If the glottic view is adequate, but guiding the tip of the DLT into the glottis or advancing the tube pass through the glottis is difficult, videolaryngoscopy combined with FOB may be an effective approach. In the study by Imajo et al ( 87 ), Lai and Wu ( 90 ), a fibreoptic bronchoscope was used as a stylet and placed through the bronchial lumen. Under videolaryngoscopy observation, they guided the tip of the tube to the glottis using FOB and facilitated DLT intubation.…”

Section: Choices Of Videolaryngoscope In Managing Difficult Airways I...mentioning

confidence: 99%

Recent Advances in Videolaryngoscopy for One-Lung Ventilation in Thoracic Anesthesia: A Narrative Review

Yao

Li²,

Zhang³

et al. 2022

Front. Med.

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Since their advent, videolaryngoscopes have played an important role in various types of airway management. Lung isolation techniques are often required for thoracic surgery to achieve one-lung ventilation with a double-lumen tube (DLT) or bronchial blocker (BB). In the case of difficult airways, one-lung ventilation is extremely challenging. The purpose of this review is to identify the roles of videolaryngoscopes in thoracic airway management, including normal and difficult airways. Extensive literature related to videolaryngoscopy and one-lung ventilation was analyzed. We summarized videolaryngoscope-guided DLT intubation techniques and discussed the roles of videolaryngoscopy in DLT intubation in normal airways by comparison with direct laryngoscopy. The different types of videolaryngoscopes for DLT intubation are also compared. In addition, we highlighted several strategies to achieve one-lung ventilation in difficult airways using videolaryngoscopes. A non-channeled or channeled videolaryngoscope is suitable for DLT intubation. It can improve glottis exposure and increase the success rate at the first attempt, but it has no advantage in saving intubation time and increases the incidence of DLT mispositioning. Thus, it is not considered as the first choice for patients with anticipated normal airways. Current evidence did not indicate the superiority of any videolaryngoscope to another for DLT intubation. The choice of videolaryngoscope is based on individual experience, preference, and availability. For patients with difficult airways, videolaryngoscope-guided DLT intubation is a primary and effective method. In case of failure, videolaryngoscope-guided single-lumen tube (SLT) intubation can often be achieved or combined with the aid of fibreoptic bronchoscopy. Placement of a DLT over an airway exchange catheter, inserting a BB via an SLT, or capnothorax can be selected for lung isolation.

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Efficacy of bronchofiberscope double-lumen tracheal tube intubation combined with McGRATH MAC for difficult airway

Cited by 8 publications

References 2 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?

Successful LMA-ProSeal insertion using a tracheal tube introducer in a patient with severe rheumatoid arthritis

Recent Advances in Videolaryngoscopy for One-Lung Ventilation in Thoracic Anesthesia: A Narrative Review

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