Double-Lumen Tube Intubation in the Lateral Position Versus the Supine Position on First-Attempt Success Rate

NCT ID: NCT07014345

Last Updated: 2025-08-14

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

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-01

Study Completion Date

2023-11-30

Brief Summary

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The aim of this clinical trial is to find out the first success rate of double lumen intubation in the lateral position in thoracic surgery, it will also find out the safety of double lumen tube intubation in the lateral position. The trial aims to answer the following key questions

Does intubation in lateral position improve the first-time success rate of double-lumen intubation compared with in the supine position? What medical problems can participants experience during double lumen tube intubation in the lateral position? The researchers will compare double lumen intubation in the lateral position vs supine position to see if the position is effective in the success rate of double lumen intubation.

Participants will

Use the supine or lateral position during intubation

Detailed Description

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Conditions

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Double Lumen Tube Intubation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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DLT placement performed in lateral position

In the lateral position group, patients were positioned laterally (as required for surgery) before anesthesia induction. After anesthesia induction, Double lumen tube placement was performed while the patient remained in the lateral position.

Group Type EXPERIMENTAL

DLT placement performed in lateral position

Intervention Type PROCEDURE

In the lateral position group, patients were positioned laterally (as required for surgery) before anesthesia induction. After anesthesia induction, Double lumen tube placement was performed while the patient remained in the lateral position.

DLT placement performed in supine position

A double-lumen tube is typically carried out with the patient in the supine position, which is a standard procedure in thoracic surgery.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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DLT placement performed in lateral position

In the lateral position group, patients were positioned laterally (as required for surgery) before anesthesia induction. After anesthesia induction, Double lumen tube placement was performed while the patient remained in the lateral position.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* need for DLT intubation with elective unilateral thoracoscopic surgery
* age 18-65 years
* American Society of Anesthesiologists (ASA) grade of I or II
* no serious cardiopulmonary disease

Exclusion Criteria

* aged \<18 years or \>65 years
* body mass index \>30 kg/m2
* cognitive dysfunction and inability to assume the required body position
* previous cervical vertebrae and expected difficult airway (e.g., Mallampati airway grade of III, IV, or higher, maximum mouth opening \<3 finger widths, nail-chin distance \<6 cm)
* admission to the intensive care unit after surgery and without follow-up
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Red Cross Hospital, Hangzhou, China

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Guangzhou Medical University

OTHER

Sponsor Role collaborator

Central People's Hospital of Zhanjiang

OTHER

Sponsor Role collaborator

The Central Hospital of Lishui City

OTHER

Sponsor Role collaborator

xiangming fang

OTHER

Sponsor Role lead

Responsible Party

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xiangming fang

Chair Professor, Department of Anesthesiology Vice Dean, School of Medicine and and Pharmaceutical sciences Zhejiang University

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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China

Hangzhou, Zhejiang, China

Site Status

Countries

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China

References

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Kim H, Seol T, Han SH, Kim H, Hwang JY. A bench study on the prevention of lung-to-lung aspiration with double-lumen endobronchial tubes and bronchial blockers. Sci Rep. 2024 Jan 2;14(1):187. doi: 10.1038/s41598-023-50792-z.

Reference Type BACKGROUND
PMID: 38167877 (View on PubMed)

Campos JH. Lung isolation techniques for patients with difficult airway. Curr Opin Anaesthesiol. 2010 Feb;23(1):12-7. doi: 10.1097/ACO.0b013e328331e8a7.

Reference Type BACKGROUND
PMID: 19752725 (View on PubMed)

Brodsky JB. Lung separation and the difficult airway. Br J Anaesth. 2009 Dec;103 Suppl 1:i66-75. doi: 10.1093/bja/aep262.

Reference Type BACKGROUND
PMID: 20007992 (View on PubMed)

Yang M, Kim JA, Ahn HJ, Choi JW, Kim DK, Cho EA. Double-lumen tube tracheal intubation using a rigid video-stylet: a randomized controlled comparison with the Macintosh laryngoscope. Br J Anaesth. 2013 Dec;111(6):990-5. doi: 10.1093/bja/aet281. Epub 2013 Aug 23.

Reference Type BACKGROUND
PMID: 23975566 (View on PubMed)

Saji H, Okada M, Tsuboi M, Nakajima R, Suzuki K, Aokage K, Aoki T, Okami J, Yoshino I, Ito H, Okumura N, Yamaguchi M, Ikeda N, Wakabayashi M, Nakamura K, Fukuda H, Nakamura S, Mitsudomi T, Watanabe SI, Asamura H; West Japan Oncology Group and Japan Clinical Oncology Group. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022 Apr 23;399(10335):1607-1617. doi: 10.1016/S0140-6736(21)02333-3.

Reference Type BACKGROUND
PMID: 35461558 (View on PubMed)

Other Identifiers

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Intubation

Identifier Type: -

Identifier Source: org_study_id

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