Clinical Application of Right Visual Double Lumen Tube in Thoracoscopic Surgery for Adult Patients

Diansan Su

Status: Not yet enrolling

Conditions: Double Lumen Tube Intubation; Thoracoscopic Surgery

Treatments: Device: lumen intubation tube; Device: visible double-lumen tube

Study type: Interventional

Funder types: Other

Identifiers

NCT07362797

ZJU2025C144

Details and patient eligibility

About

This clinical trial aims to understand whether a visual double-lumen intubation tube can improve the first-attempt success rate and reduce complications compared to a standard double-lumen tube. The trial primarily aims to answer the following questions:

Does a double-lumen tube improve the first-attempt success rate?

Does a visual double-lumen tube reduce the likelihood of obstruction of the right upper lobe bronchial opening?

Does a visual double-lumen tube require fewer adjustments during surgery?

Do patients with visual double-lumen tubes experience fewer perioperative complications compared to those with standard double-lumen tubes?

Participants will:

Use a visual double-lumen tube partially and a standard double-lumen tube partially.

Record the perioperative status of all patients.

Enrollment: 500 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age: at least 18 years old, gender is not limited.
• American Anesthesiologists Association (ASA) Grade I-III;
• Elective Video-Assisted Thoracoscopic Lobectomy.
• Informed consent of the patient or family member.
• People who are willing to accept perioperative visits.

Exclusion criteria

• Patients with contraindications for right double-lumen tube insertion (such as right bronchial tumor).
• The patient has known tracheobronchial anatomical abnormalities
• Patients previously diagnosed or suspected of having airway difficulty.
• Patients who need rapid sequence induction.
• Patients requiring emergency surgery
• Patients who have undergone thoracic surgery, systemic infection or suspected tuberculosis in the past four weeks.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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500 participants in 2 patient groups

visual double-lumen tube group

Active Comparator group

Description:

Lung-isolation thoracoscopic surgery using a right-side visual double-lumen tube.

Treatment:

Device: visible double-lumen tube

Non-visual dual-lumen tube (ordinary dual-lumen tube) group

Active Comparator group

Description:

Lung isolation thoracoscopic surgery was performed with fiberoptic bronchoscopy assistance using a standard double-lumen tube on the right side (non-visual double-lumen tube).

Treatment:

Device: lumen intubation tube