Comparing the Effectiveness and Safety of MedAn with the Nishikawa Blade and UE Videolaryngoscopes for Left-Sided Double-Lumen Endobronchial Tube Intubation: A Randomized Controlled Trial

被引：1

作者：

Zhang, Yong ^{[1
]}

Zhang, Wenwen ^{[1
]}

Wang, Shuai ^{[1
]}

Yin, Hailing ^{[1
]}

Xu, Yajie ^{[1
]}

Fang, Zhaojing ^{[1
]}

Bao, Hongguang ^{[1
]}

Zhang, Chen ^{[1
]}

Wang, Xiaoliang ^{[1
]}

Liu, Wentao ^{[2
]}

机构：

[1] Nanjing Med Univ, Nanjing Hosp 1, Dept Anesthesiol Perioperat & Pain Med, Nanjing, Jiangsu, Peoples R China

[2] Nanjing Med Univ, Sch Basic Med Sci, Dept Pharmacol, Nanjing, Jiangsu, Peoples R China

来源：

MEDICAL SCIENCE MONITOR | 2023年 / 29卷

关键词：

Laryngoscopes; Intubation; Anesthesia; Endotracheal; TRACHEAL INTUBATION; ENDOTRACHEAL-TUBE; DIFFICULT AIRWAY; LARYNGOSCOPY; MACINTOSH; PLACEMENT;

D O I：

10.12659/MSM.940916

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Background: The purpose of this study was to compare the effectiveness and safety of the MedAn videolaryngoscope with the Nishikawa blade (MedAn) vs the UE videolaryngoscope (UE) for intubation with a left-sided double-lumen endobronchial tube (LDLT) in patients with normal airways.Material/Methods: We randomly categorized 106 patients scheduled to undergo elective thoracic surgery with LDLT for one-lung ventilation into 2 groups: the UE group (Group UE) and the MedAn group (Group MedAn), using the MedAn or UE for LDLT intubation. The primary outcome was time to successful intubation. The Cormack-Lehane classi-fication of laryngeal view was the key secondary outcome. Other secondary outcomes included first-attempt and overall intubation success rates, laryngoscopy time, LDLT placement time, operators' subjective evaluation of videolaryngoscopes, hemodynamic changes during videolaryngoscopic intubation, and adverse outcomes.Results: The time to successful intubation and LDLT placement time of Group MedAn were 42.0 (32.35, 47.0) s and 23.0 (18.0, 26.0) s, and it was shorter than in Group UE (median, 42 s vs 49 s, 23 s vs 30 s, P<0.001). Group MedAn had a better laryngeal view (P=0.03) and less subglottic/tracheal mucosal injury (P<0.001) than Group UE. Moreover, the operators' subjective grading of ease of laryngoscopy, quality of view, and ease of LDLT place -ment were higher in Group MedAn than in Group UE (P<0.05).Conclusions: Compared with the UE, the MedAn could reduce the intubation time and provide a better laryngeal view and sufficient intubation space for safer LDLT intubation in patients with normal airways.

引用

页数：9

共 32 条

[31] RETRACTED: Comparison of Arndt-endobronchial blocker plus laryngeal mask airway with left-sided double-lumen endobronchial tube in one-lung ventilation in thoracic surgery in the morbidly obese (Retracted article. See vol. 51, art. e6825, 2018)
Zhang, Z. J.
Zheng, M. L.
Nie, Y.
Niu, Z. Q.
BRAZILIAN JOURNAL OF MEDICAL AND BIOLOGICAL RESEARCH, 2018, 51 (02)
[32] Effect of prophylactic benzydamine hydrochloride on postoperative sore throat and hoarseness after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled trial; [L’effet d’une prophylaxie de chlorhydrate de benzydamine sur les maux de gorge et l’enrouement postopératoires après une intubation trachéale à l’aide d’une sonde endobronchique à double lumière: une étude randomisée contrôlée]
Chang J.-E.
Min S.-W.
Kim C.-S.
Han S.-H.
Kwon Y.-S.
Hwang J.-Y.
Canadian Journal of Anesthesia/Journal canadien d'anesthésie, 2015, 62 (10): : 1097 - 1103

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