Clinical Application of Right Visual Double Lumen Tube in Thoracoscopic Surgery for Adult Patients
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorDiansan Su
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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.
Disqualifiers
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.
Trial design
Design model
Parallel
Treatments tested in this trial
visible double-lumen tube
DeviceA visible double-lumen tube on the right side
lumen intubation tube
DeviceThe standard double-lumen tube on the right side was positioned with the aid of a fiberoptic bronchoscope.
Treatment groups
500 Participants
are divided into 2 treatment groupsGroup A: visual double-lumen tube groupActive comparator 1 intervention
Group B: Non-visual dual-lumen tube (ordinary dual-lumen tube) groupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Primary purpose
To study whether the right visual double lumen tube can improve the success rate of initial intubation compared with the right ordinary double lumen tube.
Time frame
After anesthesia induction, the laryngoscope is inserted and the timing begins until the endotracheal tube position is confirmed. The endotracheal tube is then fixed, and mechanical ventilation is initiated (approximately 10 minutes).Secondary outcomes
1
Secondary purposes
Compare the obstruction of the right upper bronchial opening in the two groups of patients.
Time frame
After the endotracheal tube is secured, the patient is ventilated by a ventilator, and ventilation of the right single lung is initiated (lasting approximately 2-3 minutes).2
Intraoperative cannulation position adjustment
Compare the number of times the endotracheal intubation position needed to be adjusted and the total adjustment time between the two groups of patients.
Time frame
The entire surgery (approximately 1-3 hours).3
postoperative complications
The postoperative complications of the two groups of patients were compared.
Time frame
From the end of surgery to the patient's discharge (2-3 days).Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Diansan Su
Lead sponsor
Zhejiang University
Sponsor institution
Ningbo No.2 Hospital
Collaborator
Affiliated Hospital of Jiaxing University
Collaborator
Source ClinicalTrials.gov
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