首页> 美国卫生研究院文献>Current Controlled Trials in Cardiovascular Medicine >Comparing the placement of a left-sided double-lumen tube via fiberoptic bronchoscopy guidance versus conventional intubation using a Macintosh laryngoscope to reduce the incidence of malpositioning: study protocol for a randomized controlled pilot trial
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Comparing the placement of a left-sided double-lumen tube via fiberoptic bronchoscopy guidance versus conventional intubation using a Macintosh laryngoscope to reduce the incidence of malpositioning: study protocol for a randomized controlled pilot trial

机译:通过光纤支气管镜引导与使用Macintosh喉镜的常规插管比较左侧双腔管的放置以减少错位的发生率:一项针对随机对照试验的研究方案

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摘要

BackgroundA fiberoptic bronchoscope (FOB) is commonly used to identify the proper placement of a double-lumen endotracheal tube (DLT) for good lung isolation during thoracic surgery. We hypothesized that the FOB-guided method for DLT placement composed of tracheal intubation under initial guidance by a FOB via the bronchial lumen and subsequent selective left-bronchial intubation could be used to reduce the incidence of DLT malposition and reduce the time required for completion of DLT placement and confirmation of proper DLT position during intubation using a left-sided DLT, in comparison to the conventional method under direct laryngoscopy using a Macintosh laryngoscope.
机译:背景技术纤维支气管镜(FOB)通常用于识别双腔气管导管(DLT)的正确放置,以在胸外科手术中实现良好的肺隔离。我们假设,FOB引导的DLT放置方法包括在FOB最初通过支气管腔引导下进行气管插管以及随后的选择性左支气管插管,可用于减少DLT错位的发生率并减少完成LLT所需的时间。与使用Macintosh喉镜直接喉镜下的常规方法相比,使用左侧DLT插管时DLT的放置和DLT正确位置的确认。

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