The Efficacy of Trachway (R) Intubating Stylet in the Insertion of the Double Lumen Endobronchial Tube

Kaohsiung Medical University

Status: Completed

Conditions: Anesthesia Intubation Complications

Treatments: Device: Trachway(R) intubating stylet; Device: Direct laryngoscope (Macintoish laryngoscope)

Study type: Interventional

Funder types: Other

Identifiers

NCT01517204

KMUH-IRB-990305

Details and patient eligibility

About

The purpose of this study is to investigate the effects of Trachway(R) compared with direct laryngoscope in tracheal intubation of double-lumen endobronchial tube.

Full description

Intubation with the double-lumen endobronchial tube (DLT) remains a great challenge for anesthesiologists. Although new upper airway devices, such as Trachway (R), a video-assisted intubating stylet, had been developed for facilitating airway management.

The larger size and the complexity of DLT than single-lumen tube (SLT) makes the difficulties for DLT intubation. Therefore, the investigators designed this study to investigate the effects of Trachway(R)compared with direct laryngoscope in DLT intubation.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. patients with American Society of Anesthesiologists physical status I-III
2. More than 18 years of age
3. Requiring DLT for thoracic surgery

Exclusion criteria

1. risk of regurgitation and pulmonary aspiration
2. history of gastroesophageal reflux, pregnancy
3. scheduled tracheostomy and postoperative prolonged ventilation in ICU
4. patients with limited neck extension (< 35°)
5. a distance between the tip of the patient's mandible and hyoid bone of less than 7 cm
6. a sternomental distance of less than 12.5 cm with the head fully extended
7. mouth can not open

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups

Direct laryngoscope

Experimental group

Description:

Direct laryngoscope was used to facilitate the intubation of left-sided double lumen endobronchial tube.

Treatment:

Device: Direct laryngoscope (Macintoish laryngoscope)

Trachway(R) intubating stylet

Experimental group

Description:

Trachway(R) intubating stylet was used to facilitate left-sided double lumen endobronchial tube intubation.

Treatment:

Device: Trachway(R) intubating stylet