Clinical Application of Right Visual Double Lumen Tube in Thoracoscopic Surgery for Adult Patients

N/ANot Yet RecruitingNCT07362797

Diansan Su500 enrolled

Overview

This clinical trial aims to understand whether a visual double-lumen intubation tube can improve the first-attempt success rate and reduce complications compared to a standard double-lumen tube. The trial primarily aims to answer the following questions: Does a double-lumen tube improve the first-attempt success rate? Does a visual double-lumen tube reduce the likelihood of obstruction of the right upper lobe bronchial opening? Does a visual double-lumen tube require fewer adjustments during surgery? Do patients with visual double-lumen tubes experience fewer perioperative complications compared to those with standard double-lumen tubes? Participants will: Use a visual double-lumen tube partially and a standard double-lumen tube partially. Record the perioperative status of all patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

500

Conditions

Thoracoscopic Surgery Double Lumen Tube Intubation

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age: at least 18 years old, gender is not limited. * American Anesthesiologists Association (ASA) Grade I-III; * Elective Video-Assisted Thoracoscopic Lobectomy. * Informed consent of the patient or family member. * People who are willing to accept perioperative visits. Exclusion Criteria: * Patients with contraindications for right double-lumen tube insertion (such as right bronchial tumor). * The patient has known tracheobronchial anatomical abnormalities * Patients previously diagnosed or suspected of having airway difficulty. * Patients who need rapid sequence induction. * Patients requiring emergency surgery * Patients who have undergone thoracic surgery, systemic infection or suspected tuberculosis in the past four weeks.

Outcomes

Primary Outcomes

Primary purpose

To study whether the right visual double lumen tube can improve the success rate of initial intubation compared with the right ordinary double lumen tube.

Time frame: After anesthesia induction, the laryngoscope is inserted and the timing begins until the endotracheal tube position is confirmed. The endotracheal tube is then fixed, and mechanical ventilation is initiated (approximately 10 minutes).

Secondary Outcomes

Secondary purposes

Compare the obstruction of the right upper bronchial opening in the two groups of patients.

Time frame: After the endotracheal tube is secured, the patient is ventilated by a ventilator, and ventilation of the right single lung is initiated (lasting approximately 2-3 minutes).

Intraoperative cannulation position adjustment

Compare the number of times the endotracheal intubation position needed to be adjusted and the total adjustment time between the two groups of patients.

Time frame: The entire surgery (approximately 1-3 hours).

postoperative complications

The postoperative complications of the two groups of patients were compared.

Time frame: From the end of surgery to the patient's discharge (2-3 days).