Intubation, Intratracheal Clinical Trial
Official title:
A Comparison of Placement With the VivaSight Left-sided Double Lumen Tube With an Integrated Monitor/Camera Versus the Standard Left-sided Double Lumen Tube (DLT) With Fiberoptic Bronchoscopy in Patients Requiring One-lung Ventilation (OLV)
The VivaSight™‐DLT is a new OLV (one lung ventilation) device that contains an embedded
camera. Therefore, a potential advantage is the continuous assessment of DLT position through
continuous monitoring of the camera. The embedded camera of VivaSight™‐DLT is positioned at
the tracheal opening of the double lumen tube. It allows for continuous monitoring of the
carina and bronchial tube placement.
The purpose of this study is to determine if a double lumen tube (DLT) with an embedded video
camera, the VivaSight DLT, can be used in similar fashion to the standard double lumen tube
with fiberoptic bronchoscopy. More specifically, the investigators would like to know the
difference in time to optimal position in the left bronchus between the VivaSight DLT and the
standard DLT with fiberoptic bronchoscopy. In addition, the investigators would like to know
if the embedded camera on the VivaSight DLT provides a view that will allow for the optimum
position of the DLT in the left bronchus.
The investigators will perform a prospective, randomized study in thoracic surgical patients
undergoing one-lung ventilation where the patient will receive either the VivaSight DLT or
standard left-sided DLT. Subjects will be selected and evaluated who are at least 18 years
old, but no older than 90 years old.
The investigators will compare the intubation time for the VivaSight™‐DLT with the intubation
time for standard DLT. The intubation time parameters for the VivaSight™‐DLT are the passage
of the tube through the vocal cords and the confirmation of proper tube positioning by the
embedded camera. Fiberoptic bronchoscopy is performed to reassess the proper tube
positioning, however, this will not be counted for the intubation time in this group. For the
standard DLT, the intubation time parameter begins similarly, on the passage of the tube
through the vocal cords, but ends with the confirmation of the proper placement by fiberoptic
bronchoscopy. In both groups, C-MAC blade is used to visualize the passage of the tube
through the vocal cords. These intubation times will be tracked real-time in the operating
room and will be based upon both observation as well as the verbal confirmation of the
attending anesthesiologist.
The intubation time must be within 5 minutes. The intubation time required more than 5
minutes is considered as unsuccessful intubation.
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