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首页> 外文期刊>Anaesthesia: Journal of the Association of Anaesthetists of Great Britain and Ireland >A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope((R)) with conventional blind placement
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A randomised trial comparing real-time double-lumen endobronchial tube placement with the Disposcope((R)) with conventional blind placement

机译：随机试验将实时双腔内胚胎管与传统盲放置的实时双腔内腔管置置单进行比较

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摘要

Double-lumen endobronchial tube placement is challenging. This study compared double-lumen tube placement with the Disposcope((R)), a wireless videostyletallowing real-time visualisation, with conventional blind placement. Patients undergoing elective thoracic surgery with normal airways requiring one-lung ventilation were randomly allocated into two groups (27 patients in each group). The Disposcope was used to assist left-sided double-lumen tube placement in one group, and conventional blind placement was performed in the control group. Placement in both groups was checked with fibreoptic bronchoscopy. The Disposcope-assisted group had a shorter total mean (SD) placement time (18.6 (2.5)s vs. 21.4 (2.9)s, p<0.001), laryngoscopy to end of auscultation time (83.4 (3.0)s vs. 93.9 (5.7)s, p<0.001) and total operation time (130.7 (6.1)s vs. 154.5 (6.3)s, p<0.001). In the Disposcope-assisted group, the double-lumen tube was inserted in the correct side in all patients (100.0%), whereas in the conventional group, the double-lumen tube was placed in the correct side in 25 (92.6%) patients and in the wrong side in 2 (7.4%) patients; the difference was not significant (p=0.150). In the Disposcope-assisted group, the double-lumen tube was inserted to the optimal depth in 24 (88.9%) patients, whereas in the conventional group it was inserted to the optimal depth in one (4.0%) patient. The Disposcope increased the success rate of double-lumen tube placement, and shortened the total operation time when compared with standard placement with confirmation using fibreoptic bronchoscopy, and may replace the conventional method.
机译：双腔内胚胎管放置是挑战性的。该研究将双腔管放置与驱动器（（r））相比，无线视频电动脉基，具有常规盲目放置。接受常规空气的患者需要一种需要单肺通气的近期通气的患者被随机分配成两组（每组27例患者）。随机腔用于在一个组中辅助左侧双腔管放置，并且在对照组中进行常规盲局。用纤维电光支气管镜检查检查两组的放置。辅助组的总平均值（SD）放置时间较短（18.6（2.5）与21.4（2.9），P <0.001），喉镜检查到听诊时间结束（83.4（3.0）与93.9（ 5.7）S，P <0.001）和总操作时间（130.7（6.1）与154.5（6.3）S，P <0.001）。在疗程辅助组中，双腔管在所有患者（100.0％）中插入正确的一侧，而在常规组中，将双腔管置于25例（92.6％）患者的正确侧在2（7.4％）患者的错误方面;差异不显着（p = 0.150）。在辅助辅助组中，将双腔管插入24例（88.9％）患者的最佳深度，而在常规组中，它被插入一个（4.0％）患者的最佳深度。随机腔增加了双腔管放置的成功率，与使用纤维电光支气管镜检查的标准放置相比，缩短了总操作时间，并且可以取代传统方法。

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