VivaSight™ single-lumen tube guided bronchial blocker placement for one-lung ventilation in a patient with a tracheal tumor under video-assisted transthoracic surgery: a case report

Qiu, Jin; Feng, Miaomiao; Zhang, Chuanhan; Yao, Wenlong

doi:10.1186/s12871-018-0677-3

Cited by 7 publications

(3 citation statements)

References 18 publications

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“…VivaSight™ SLT is a new generation ETT that incorporates a high-resolution imaging camera and a light source at its tip. It has been reported for BB placement without the aid of FOB and can provide real-time and continuous monitoring of the BB position ( 105 – 107 ).…”

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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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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“…When using a bronchial blocker, a fiberoptic bronchoscope is required to verify the position of the bronchial blocker, because the repeated use of the fiberoptic bronchoscope increases the risk of tumor rupture and/or hemorrhage. In these situations, the VivaSight© SLT guided bronchial blocker for one-lung ventilation can be used with advantage [ 111 , 112 ]. VivaSight SLT has been compared with Macintosh direct laryngoscopy in critically ill patients requiring tracheal intubation [ 113 ].…”

Section: Fiberoptic Tracheal Tubesmentioning

confidence: 99%

Optical Devices in Tracheal Intubation—State of the Art in 2020

et al. 2021

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The review article is focused on developments in optical devices, other than laryngoscopes, in airway management and tracheal intubation. It brings information on advantages and limitations in their use, compares different devices, and summarizes benefits in various clinical settings. Supraglottic airway devices may be used as a conduit for fiberscope-guided tracheal intubation mainly as a rescue plan in the scenario of difficult or failed laryngoscopy. Some of these devices offer the possibility of direct endotracheal tube placement. Hybrid devices combine the features of two different intubating tools. Rigid and semi-rigid optical stylets represent another option in airway management. They offer benefits in restricted mouth opening and may be used also for retromolar intubation. Awake flexible fiberoptic intubation has been a gold standard in predicted difficult laryngoscopy for decades. Modern flexible bronchoscopes used in anesthesia and intensive care are disposable devices and contain optical lenses instead of fibers. Endotracheal tubes with an incorporated optics are used mainly in thoracic anesthesia for lung separation. They are available in double-lumen and single-lumen versions. They offer a benefit of direct view to the carina and do not require flexible fiberscope for their correct placement.

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“…15 In addition to decreasing the need for perioperative FB, the VivaSight can also guide BB placement by visualization of BB position at the carinal level. 16 This real-time continuous monitoring of BB position can be useful during right-side isolation with a BB because the margin for malposition is smaller. The VivaSight-DL may also be useful in verifying tube position during procedures in which the head of the patient is away from the anesthesia workstation, such as in some robotic surgical procedures.…”

Section: Double-lumen Tubes: Types Size Selection and Confirmationmentioning

confidence: 99%

Current Practice Issues in Thoracic Anesthesia

Cohen

2021

Anesthesia &Amp; Analgesia

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This review discusses the present strategies in lung separation, the various types of double-lumen tubes (DLTs), and the use of bronchial blockers (BBs). Methods of selecting the correct DLT size and the role of videolaryngoscopy in placing a DLT are reviewed. Mechanisms whereby inhaled anesthetics may be protective during one-lung ventilation (OLV) are highlighted. The risk and prevention of fire during thoracic procedures are discussed.

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VivaSight™ single-lumen tube guided bronchial blocker placement for one-lung ventilation in a patient with a tracheal tumor under video-assisted transthoracic surgery: a case report

Cited by 7 publications

References 18 publications

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

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

Optical Devices in Tracheal Intubation—State of the Art in 2020

Current Practice Issues in Thoracic Anesthesia

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