Use of lighted stylets to facilitate insertion of double-lumen endobronchial tubes in patients with difficult airway anatomy

O’Connor, Christopher; O’Connor, Thomas A.

doi:10.1016/j.jclinane.2006.04.008

Cited by 19 publications

(9 citation statements)

References 8 publications

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“…In order to increase the success rate of double‐lumen tube intubation, a number of devices have been developed, including lighted laryngoscopes and video devices to aid advancement past the vocal cords; however, these devices generally do not allow confirmation of correct placement in the bronchus . Overall, the devices appear to improve the success rate of tracheal intubation in cases of difficult airways, but it is unclear if their routine use leads to improvements in outcomes.…”

Section: Introductionmentioning

confidence: 99%

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope^® with conventional blind placement

et al. 2017

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Double-lumen endobronchial tube placement is challenging. This study compared double-lumen tube placement with the Disposcope , a wireless videostylet allowing real-time visualisation, with conventional blind placement. Patients undergoing elective thoracic surgery with normal airways requiring one-lung ventilation were randomly allocated into two groups (27 patients in each group). The Disposcope was used to assist left-sided double-lumen tube placement in one group, and conventional blind placement was performed in the control group. Placement in both groups was checked with fibreoptic bronchoscopy. The Disposcope-assisted group had a shorter total mean (SD) placement time (18.6 (2.5) s vs. 21.4 (2.9) s, p < 0.001), laryngoscopy to end of auscultation time (83.4 (3.0) s vs. 93.9 (5.7) s, p < 0.001) and total operation time (130.7 (6.1) s vs. 154.5 (6.3) s, p < 0.001). In the Disposcope-assisted group, the double-lumen tube was inserted in the correct side in all patients (100.0%), whereas in the conventional group, the double-lumen tube was placed in the correct side in 25 (92.6%) patients and in the wrong side in 2 (7.4%) patients; the difference was not significant (p = 0.150). In the Disposcope-assisted group, the double-lumen tube was inserted to the optimal depth in 24 (88.9%) patients, whereas in the conventional group it was inserted to the optimal depth in one (4.0%) patient. The Disposcope increased the success rate of double-lumen tube placement, and shortened the total operation time when compared with standard placement with confirmation using fibreoptic bronchoscopy, and may replace the conventional method.

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Section: Introductionmentioning

confidence: 99%

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope^® with conventional blind placement

et al. 2017

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“…The second technique involves the use of ancillary lighted devices or video laryngoscopes that increase the visualization field of the epiglottis, vocal cords, and passage of the tube. A malleable, lighted stylet (Mercury Medical, Clearwater, Florida, USA) has been reported by using the device within the endobronchial lumen of the DLT, where the tip of the bulb was positioned distally at the tip of the DLT in patients with difficult airways [20]. Others have reported the use of a fiberoptic laryngoscope, the WuScope (Pentax Precision Instruments, Orangeburg, New Jersey, USA) during placement of a DLT in patients with abnormal airway anatomy [21].…”

Section: Use Of a Double-lumen Endotracheal Tube In Patients With Difmentioning

confidence: 99%

Lung isolation techniques for patients with difficult airway

Campos

2010

Current Opinion in Anaesthesiology

124

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In patients who require one-lung ventilation and who present with a difficult airway, the safest way to establish an airway is by placing a single-lumen endotracheal tube orally or nasotracheally while the patient is awake with the aid of a flexible fiberoptic bronchoscope. Lung isolation in these patients then is achieved by using an independent bronchial blocker; an alternative technique is to use a double-lumen endotracheal tube while using an airway catheter exchange technique. For the patient with a tracheostomy in place, an independent bronchial blocker is recommended.

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“…Cases for diverse modified techniques for DLT placement have been reported [2]. A rigid fiberscope, Bonfils intubation fiberscope, can also be used with DLTs of 37 Fr or larger after appropriate tube shortening [3].…”

mentioning

confidence: 99%

“…It has been already known that CVS facilitates single-lumen endotracheal tube placement in patients with limited neck motion and limited mouth opening [4,5]. The narrowest portion of a 35 Fr DLT has a 5 mm diameter; thus, an ideal intubating stylet for DLT should have at least 37 cm in length and be less than 5 mm in diameter [2]. The CVS designed for DLT has an outer diameter of 5 mm and is 40.5 cm in length and could accommodate 35 Fr or larger DLTs.…”

mentioning

confidence: 99%

The use of the Clarus Video System for double-lumen endobronchial tube intubation in a patient with a difficult airway

Kim

Jun

Kim

2013

Korean J Anesthesiol

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Use of lighted stylets to facilitate insertion of double-lumen endobronchial tubes in patients with difficult airway anatomy

Cited by 19 publications

References 8 publications

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope^® with conventional blind placement

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope^® with conventional blind placement

Lung isolation techniques for patients with difficult airway

The use of the Clarus Video System for double-lumen endobronchial tube intubation in a patient with a difficult airway

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Use of lighted stylets to facilitate insertion of double-lumen endobronchial tubes in patients with difficult airway anatomy

Cited by 19 publications

References 8 publications

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope® with conventional blind placement

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope® with conventional blind placement

Lung isolation techniques for patients with difficult airway

The use of the Clarus Video System for double-lumen endobronchial tube intubation in a patient with a difficult airway

Contact Info

Product

Resources

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A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope^® with conventional blind placement

A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope^® with conventional blind placement