Initial experience with the Vivasight ETView®double-lumen fibreoptic tube in thoracic surgery
Authors:
Bicek Vladimír; Krečmerová Martina; Ungermannová Veronika; Vymazal Tomáš
Authors place of work:
Klinika anesteziologie, resuscitace a intenzivní medicíny 2. LF UK ve FN v Motole
Published in the journal:
Anest. intenziv. Med., 25, 2014, č. 4, s. 274-276
Category:
Anaesthesiology - Original Paper
Summary
Objective:
The double-lumen fibreoptic tube Vivasight ETView® is a new tool that allows lung isolation without the use of a fibrescope. The aim of the study was to evaluate the success and complication rates of its insertion in thoracic surgery procedures.
Design:
Prospective observational study (clinical audit).
Settings:
Department of Anaesthesiology and Intensive Care Medicine, University Hospital.
Material and methods:
We evaluated the success rate, speed of insertion, incidence of malposition and other complications associated with the insertion of a fibreoptic double-lumen tube in 65 patients scheduled for thoracic surgery requiring separation of the lungs.
Results:
The tube was successfully inserted in 64 of 65 patients (98.5%). One patient (1.5%) experienced tube dislocation requiring subsequent repositioning using a flexible bronchoscope. The average speed of insertion was 23.4 (± 4.67) seconds. We did not observe any significant differences in the insertion success rates between experienced anaesthesiologists and trainees.
Conclusion:
The double-lumen Vivasight ETView® fibreoptic cannula is a good tool for the separation of the lungs in thoracic anaesthesia. It is also suitable for educational purposes.
Keywords:
thoracic anaesthesia – double-lumen fibreoptic tube – Vivasight ETView® – insertion success rate
Zdroje
1. Seymour, A. H., Prasat B., McKenzie, R. J. Audit of double-lumen endobronchial intubation, Br. J. Anaesth., 2004, 93, p. 525–527.
2. Giglio, M., Oreste, D., Oreste, N. Usefulness of ETView TVT endotracheal tube for correct posi-tioning of bronchial blockers in left lobectomy: an easy and safe combination, Minerva Anestesiol., 2009, 75, p. 1–4.
3. Huitink, J. M., Koopman, E. M., Bouwman, R. A., Craenen, A., Verwoert, M., Krage, R., Visser, I. E., Erwteman, M., van Groeningen, D., Tinino, R., Schauer, A. Tracheal intubation with a camera embedded in the tube tip (Vivasight(™)). Anaesthesia., 2013, 68, p. 74–78.
4. Gaitini, L. A., Yanovski, B., Mustafa, S., Hagberg, C. A., Mora, P. C., Vaida S. J. A feasibility study using the VivaSight Single Lumen™ to intubate the trachea through the Fastrach laryn-geal mask airway: a preliminary report of 50 cases. Anesth. Analg., 2013, 116, p. 604–608.
Štítky
Anaesthesiology, Resuscitation and Inten Intensive Care MedicineČlánok vyšiel v časopise
Anaesthesiology and Intensive Care Medicine
2014 Číslo 4
Najčítanejšie v tomto čísle
- A kidney for sale – I need the money
- Difficult weaning – physiological approach (focusing on cardial causes)
- Sepsis, severe sepsis and septic shock
- Clinical practice guideline on diagnosis and treatment of hyponatraemia