VivaSight Double Lumen Tube for Single Lung Ventilation

University of Texas Southwestern Medical Center50 enrolled

Overview

This prospective, randomized, comparative study is intended to enroll a total of 50 patients undergoing thoracic surgery that necessitates single lung ventilation. The efficacy and performance of the VivaSight DLT will be compared to the conventional double lumen tube. Use of fiberoptic bronchoscopy for initial tube positioning and subsequently during the case will be recorded. The attending thoracic surgeon will judge the quality of lung deflation. The occurrence of any malposition and subsequent maneuvers will be recorded. A standardized anesthetic protocol that is usual and customary for the type of operation the patient is having will be provided to the anesthesia teams of enrolled subjects. The remainder of the anesthetic care of the subject will not deviate from the standard of care.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Double Lumen Endotracheal Tube Single Lung Ventilation

Interventions

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * 18-90 years old * Scheduled for a thoracic surgery that requires single lung ventilation * Willing and able to consent in English or Spanish Exclusion Criteria: * Age less than 18 or older than 90 * Patient does not speak English or Spanish * Patient refusal * Pregnant or nursing women * Known or suspected difficult airway * Contraindication for left sided double lumen tube (e.g, L bronchial mass)

Outcomes

Primary Outcomes

Number of Participants Requiring Flexible Fiberoptic Bronchoscopy

The number of participants requiring flexible fiberoptic bronchoscopy during double-lumen tube intubation for a single lung ventilation.

Time frame: Intraoperative, within the time the double lumen was in the trachea

Secondary Outcomes

The Intubation Time

The time required to place double lumen endotracheal tube for a single lung intubation

Time frame: Intraoperative, time to successfully intubate patient.

Number of Participants With Malposition

The number of participants with malposition of double lumen tube for a single lung intubation