Abstract：
BACKGROUND: Double-lumen tube (DLT) intubation in lateral decubitus position is rarely reported. We designed this study to evaluate the feasibility of VivaSight double-lumen tube (VDLT) intubation assisted by video laryngoscope in lateral decubitus patients.
METHODS: Patients undergoing elective video-assisted thoracoscopic surgery (VATS) for lung lobectomy were assessed for eligibility between January 2022 and December, 2022. Eligible patients were randomly allocated into supine intubation group (group S) and lateral intubation group (group L) by a computer-generated table of random numbers. The prime objective was to observe whether the success rate of VDLT intubation in lateral position with the aid of video laryngoscope was not inferior to that in supine position.
RESULTS: A total of 116 patients were assessed, and 88 eligible patients were randomly divided into group L (n = 44) and group S (n = 44). The success rate of the first attempt intubation in the L group was 90.5%, lower than that of S group (97.7%), but there was no statistical difference (p > 0.05). Patients in both groups were intubated with VDLT for no more than 2 attempts. The mean intubation time was 91.98 ± 26.70 s in L group, and 81.39 ± 34.35 s in S group (p > 0.05). The incidence of the capsular malposition in the group L was 4.8%, less than 36.4% of group S (p < 0.001). After 24 h of follow-up, it showed a higher incidence of sore throat in group S, compared to that in group L (p = 0.009).
CONCLUSIONS: Our study shows the comprehensive success rate of intubation in lateral decubitus position with VDLT assisted by video laryngoscope is not inferior to that in supine position, with less risk of intraoperative tube malposition and postoperative sore throat.
BACKGROUND: Chinese Clinical Trail Register (ChiCTR2200062989).
METHODS: Patients undergoing elective video-assisted thoracoscopic surgery (VATS) for lung lobectomy were assessed for eligibility between January 2022 and December, 2022. Eligible patients were randomly allocated into supine intubation group (group S) and lateral intubation group (group L) by a computer-generated table of random numbers. The prime objective was to observe whether the success rate of VDLT intubation in lateral position with the aid of video laryngoscope was not inferior to that in supine position.
RESULTS: A total of 116 patients were assessed, and 88 eligible patients were randomly divided into group L (n = 44) and group S (n = 44). The success rate of the first attempt intubation in the L group was 90.5%, lower than that of S group (97.7%), but there was no statistical difference (p > 0.05). Patients in both groups were intubated with VDLT for no more than 2 attempts. The mean intubation time was 91.98 ± 26.70 s in L group, and 81.39 ± 34.35 s in S group (p > 0.05). The incidence of the capsular malposition in the group L was 4.8%, less than 36.4% of group S (p < 0.001). After 24 h of follow-up, it showed a higher incidence of sore throat in group S, compared to that in group L (p = 0.009).
CONCLUSIONS: Our study shows the comprehensive success rate of intubation in lateral decubitus position with VDLT assisted by video laryngoscope is not inferior to that in supine position, with less risk of intraoperative tube malposition and postoperative sore throat.
BACKGROUND: Chinese Clinical Trail Register (ChiCTR2200062989).
摘要：
背景：很少报道侧卧位双腔管（DLT）插管。我们设计了这项研究，以评估视频喉镜辅助下VivaSight双腔管（VDLT）插管在侧卧位患者中的可行性。
方法：在2022年1月至12月期间，对择期电视胸腔镜肺叶切除术（VATS）的患者进行了资格评估，2022年。采用计算机生成的随机数字表法将符合条件的患者随机分为仰卧位插管组(S组)和侧卧位插管组(L组)。主要目的是观察在视频喉镜辅助下侧卧位VDLT插管的成功率是否不低于仰卧位。
结果：共评估了116例患者，将88例符合条件的患者随机分为L组(n=44)和S组(n=44)。L组首次插管成功率为90.5%,低于S组（97.7%），但无统计学差异(p>0.05)。两组患者均接受VDLT插管，尝试不超过2次。L组平均插管时间为91.98±26.70s,S组81.39±34.35s(p>0.05)。L组的囊膜错位发生率为4.8%,低于S组的36.4%(p<0.001)。随访24小时后，S组喉咙痛的发生率较高，与L组相比（p=0.009）。
结论：我们的研究表明，视频喉镜辅助VDLT侧卧位插管的综合成功率并不逊色于仰卧位，术中输卵管错位和术后咽喉疼痛的风险较小。
背景：中国临床试验注册（ChiCTR2200062989）。
方法：在2022年1月至12月期间，对择期电视胸腔镜肺叶切除术（VATS）的患者进行了资格评估，2022年。采用计算机生成的随机数字表法将符合条件的患者随机分为仰卧位插管组(S组)和侧卧位插管组(L组)。主要目的是观察在视频喉镜辅助下侧卧位VDLT插管的成功率是否不低于仰卧位。
结果：共评估了116例患者，将88例符合条件的患者随机分为L组(n=44)和S组(n=44)。L组首次插管成功率为90.5%,低于S组（97.7%），但无统计学差异(p>0.05)。两组患者均接受VDLT插管，尝试不超过2次。L组平均插管时间为91.98±26.70s,S组81.39±34.35s(p>0.05)。L组的囊膜错位发生率为4.8%,低于S组的36.4%(p<0.001)。随访24小时后，S组喉咙痛的发生率较高，与L组相比（p=0.009）。
结论：我们的研究表明，视频喉镜辅助VDLT侧卧位插管的综合成功率并不逊色于仰卧位，术中输卵管错位和术后咽喉疼痛的风险较小。
背景：中国临床试验注册（ChiCTR2200062989）。
