A Comparison the Intubation of a Left Sided Double Lumen Tube and Uniblocker

NCT ID: NCT03392922

Last Updated: 2019-01-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-06

Study Completion Date

2018-06-25

Brief Summary

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One-lung ventilation (OLV) is required for the most thoracic surgery to facilitate surgical visualization by collapsing the lung. The double-lumen tube (DLT) and Uniblocker are the commonly used device for OLV.The objective of our study was to comparison the safety and effectiveness of the intubation of the Left-sided Double-lumen Tube and the Uniblocker under the guidence of chest computed tomography (CT) image.

Detailed Description

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One-lung ventilation (OLV) is required for the most thoracic surgery to facilitate surgical visualization by collapsing the lung. The double-lumen tube (DLT) and Bronchial blockers (BBs) are the commonly used device for OLV.The objective of this study is to comparison the safety and effectiveness of the intubation of the Left-sided Double-lumen Tube and the Uniblocker under the guidence of chest computed tomography (CT) image(the operator count the number of CT slices (slice thickness is 5mm) from vocal cord slice to carina slice to calculate the distance between vocal cord and carina) then measure a distance on the DLT or Uniblocker from the upper edge of the cuff to the mouth side and made a marker on the DLT or Uniblocker.During the intubation the operator insert the DLT or Uniblocker into the trachea via video laryngoscope, after passing the glottis the DLT or Uniblocker are advanced toward the left main-stem bronchus, once the anesthesiologist see the marker on the DLT or the Uniblocker just above the vocal cord stop the insertion.

Conditions

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Therapeutic Procedural Complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Uniblocker

The BBs have more advantages than DLT: easier insertion especially in patients with difficult airway18 and no need to exchange the tube when mechanical ventilation is required after surgery

Group Type EXPERIMENTAL

Uniblocker

Intervention Type DEVICE

The BBs have more advantages than DLT: easier insertion especially in patients with difficult airway18 and no need to exchange the tube when mechanical ventilation is required after surgery.

Left-sided Double-lumen Tube

the double-lumen tube (DLT) is the most commonly used device for OLV

Group Type EXPERIMENTAL

Left-sided Double-lumen Tube

Intervention Type DEVICE

the double-lumen tube (DLT) is the most commonly used device for OLV

Interventions

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Uniblocker

The BBs have more advantages than DLT: easier insertion especially in patients with difficult airway18 and no need to exchange the tube when mechanical ventilation is required after surgery.

Intervention Type DEVICE

Left-sided Double-lumen Tube

the double-lumen tube (DLT) is the most commonly used device for OLV

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Adult patients undergoing left side thoracic surgery

Exclusion Criteria

* 1.Age\>70 or \<18 years 2.ASA classifications \>III 3.BMI \>35kg/m2 4.Modified Mallampati classification ≄III 5.Thoracic surgery within the last one month 6.Severe cardiopulmonary disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The First Hospital of Qinhuangdao

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ximing Qi

Role: STUDY_DIRECTOR

The First Hospital of Qinhuangdao

Locations

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The first hospital of Qinhuangdao

Qinhuangdao, Hebei, China

Site Status

Countries

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China

References

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Liu Z, Zhao L, Zhu Y, Bao L, Jia QQ, Yang XC, Liang SJ. The efficacy and adverse effects of the Uniblocker and left-side double-lumen tube for one-lung ventilation under the guidance of chest CT. Exp Ther Med. 2020 Apr;19(4):2751-2756. doi: 10.3892/etm.2020.8492. Epub 2020 Feb 5.

Reference Type DERIVED
PMID: 32256757 (View on PubMed)

Other Identifiers

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966168

Identifier Type: -

Identifier Source: org_study_id

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