Airway Management in Thoracic Anesthesia in Italy (AIRTHOR)

Azienda Ospedaliera S. Maria della Misericordia

Status: Completed

Conditions: Mechanical Ventilation Complication

Treatments: Device: Bronchial blocker; Device: Double lumen tube

Study type: Observational

Funder types: Other

Identifiers

NCT02361983

AirwaysThor

Local ethics committee ALI01 (Other Identifier)

Details and patient eligibility

About

The aim of this study is to evaluate the positioning time and the malpositioning rate of DLTs and BBs, the degree of difficulty perceived in device positioning, the use of bronchoscopy (BRO), and the quality of lung collapse achieved during ONE LUNG VENTILATION.

Full description

Safety and efficacy of the double-lumen tubes (DLT) and bronchial blockers (BB) for lung isolation in patients undergoing thoracic surgery have been extensively studied and most of the results show similar rates of successful placement and lung collapse. DLT and BB are more frequently inserted by anesthetists who are expert in thoracic anesthesia, with dedicated but different training.

The first objective of this study was to evaluate the positioning time and the malpositioning rate of DLTs and BBs, the degree of difficulty perceived in device positioning, the use of bronchoscopy (BRO), and the quality of lung collapse achieved during OLV.

A prospective observational study was designed. To check the optimal DLT (Broncho-Cath Covidien, Ireland, Dublin, Teleflex Medical, Athlone, Irelanad) and/or BB (Uniblocker, Phycon, Fuji, Japan Arndt Cohen Cook, Australia), placement a fiberoptic bronchoscope (FOB) was used. The lung collapse was assessed by surgeons.

Time from laringoscopy to the correct placement of the device, confirmed with FOB, was checked.

Data were analyzed with Student't Test and Chi-square test; p value < 0.05 was considered to be significant.

Enrollment: 2,225 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who need one lung ventilation undergoing thoracic surgery

Exclusion criteria

• age < 18 years old

Trial design

2,225 participants in 2 patient groups

DLT

Description:

Patients managed with a Double lumen tube (DLT)

Treatment:

Device: Double lumen tube

Bronchial blockers

Description:

Patients managed with a Bronchial blocker (BB)

Treatment:

Device: Bronchial blocker