Double Lumen Tube Clinical Trial
Official title:
One Lung Ventilation: Double-lumen Tube With vs Without Carinal Hook
One lung ventilation (OLV) has become a standard procedure for the vast majority of
interventions in pulmonary surgery. It is used in both techniques: thoracotomy and
videothoracoscopy (VATS).
OLV can be provided by double lumen tube (DLT) with or without the hook. In our study the
investigators want to find out if there is any advantage with one or another.
One lung ventilation (OLV) has become a standard procedure for the vast majority of
interventions in pulmonary surgery. It is used in both techniques: thoracotomy and
videothoracoscopy (VATS)(1).
OLV can be provided by double lumen tube (DLT) or bronchial blocker. There are advantages and
disadvantages of both techniques, but DLT is more recommended because it allows total
emptying of the operated lung. Air and secretion can be aspirated through the wide lumen of
the tube during the surgery (2, 3).
There are many kinds of DLT which differ according to shape and material. Most commonly used
are left sided DLT which are placed into left main bronchus and right or left lungs can be
closed or emptied. Left sided tube have a hook which is placed on the carina to prevent
displacement of the tube. There are also DLT without the hook which are more gentle and
easier to place in the left main bronchus (4,5). After the insertion of the left tube without
the hook, bronchoscopy is recommended to check the position of the tube (6,7,8,9).
Some severe complications (injury of the bronchial tree) after insertion of the hooked tube
are found in the literature (10). The investigators have published such complication from our
experience (11).
Each anesthesiologist decides individually which kind of DLT to use as there are no studies
which have objectivised the advantage of either technique. There is only one study where they
have compared both techniques but they have found no difference. That is why the
investigators decided to study which technique is better so this can be included in our
standard operative procedure.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Enrolling by invitation |
NCT03826706 -
Comparison Of Videolaryngoscopes In Double Lumen Tube
|
N/A | |
| Not yet recruiting |
NCT03378180 -
Measurement of Tracheobronchial Tree Using 3D CT
|
N/A |