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Article

A Randomized Study of Rigid Video Stylet versus Macintosh Laryngoscope for Double-Lumen Endobronchial Tube Intubation Assistance in Thoracoscopic Pulmonary Surgery

by
Yang Gu
1,†,
Qing Zhou
1,2,†,
Huanping Zhou
1,†,
Meiyun Liu
1,
Di Feng
1,
Juan Wei
1,
Keting Min
1,3,
Wanli Zhu
1,
Yuanli Chen
1,* and
Xin Lv
1,*
1
Department of Anesthesiology, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, 507, Zhengmin Road, Shanghai 200433, China
2
Department of Anesthesiology, The Second Affiliated Hospital of Nanchang University, 1 Minde Rd, Nanchang 330006, China
3
Graduate School, Wannan Medical College, 22 West Wenchang Rd, Wuhu 241002, China
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
J. Clin. Med. 2023, 12(2), 540; https://doi.org/10.3390/jcm12020540
Submission received: 8 November 2022 / Revised: 28 December 2022 / Accepted: 4 January 2023 / Published: 9 January 2023
(This article belongs to the Special Issue Airway Management & Respiratory Therapy)
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Abstract

Double-lumen endobronchial tube (DLT) intubation is more challenging than single-lumen tube intubation is, and the rigid video stylet (RVS) is one of the tools that has emerged to deal with this demanding intubation procedure. We evaluated whether the UE® RVS can shorten the DLT intubation time and improve the first-attempt intubation success rate compared with that of Macintosh laryngoscope (ML). A total of 130 participants scheduled to undergo thoracoscopic pulmonary surgeries were enrolled. They were randomized to receive either ML- or RVS-assisted DLT intubation. The primary outcomes were the intubation time and first-attempt intubation success rate. The secondary outcomes were the overall intubation success rate, mean arterial pressure, postoperative sore throat (POST), and postoperative hoarseness at 1 h and 24 h. Compared with the ML group, the intubation time was significantly shorter in the RVS group (p < 0.001; 30.82 ± 10.61 vs. 39.62 ± 6.54 s), however, the first-attempt success rate was significantly lower (p = 0.048; 83.08% vs. 95.16%). The POST at 1 h was less severe in the RVS group (p = 0.021). No significant differences were found for the other indicators. Among the patients with normal airways, the UE® RVS can achieve faster DLT intubation and decrease the severity of a POST at 1 h, although it was associated with a lower first-attempt intubation success rate.
Keywords: double-lumen endobronchial tube; rigid video stylet; Macintosh laryngoscope; intubation double-lumen endobronchial tube; rigid video stylet; Macintosh laryngoscope; intubation

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MDPI and ACS Style

Gu, Y.; Zhou, Q.; Zhou, H.; Liu, M.; Feng, D.; Wei, J.; Min, K.; Zhu, W.; Chen, Y.; Lv, X. A Randomized Study of Rigid Video Stylet versus Macintosh Laryngoscope for Double-Lumen Endobronchial Tube Intubation Assistance in Thoracoscopic Pulmonary Surgery. J. Clin. Med. 2023, 12, 540. https://doi.org/10.3390/jcm12020540

AMA Style

Gu Y, Zhou Q, Zhou H, Liu M, Feng D, Wei J, Min K, Zhu W, Chen Y, Lv X. A Randomized Study of Rigid Video Stylet versus Macintosh Laryngoscope for Double-Lumen Endobronchial Tube Intubation Assistance in Thoracoscopic Pulmonary Surgery. Journal of Clinical Medicine. 2023; 12(2):540. https://doi.org/10.3390/jcm12020540

Chicago/Turabian Style

Gu, Yang, Qing Zhou, Huanping Zhou, Meiyun Liu, Di Feng, Juan Wei, Keting Min, Wanli Zhu, Yuanli Chen, and Xin Lv. 2023. "A Randomized Study of Rigid Video Stylet versus Macintosh Laryngoscope for Double-Lumen Endobronchial Tube Intubation Assistance in Thoracoscopic Pulmonary Surgery" Journal of Clinical Medicine 12, no. 2: 540. https://doi.org/10.3390/jcm12020540

APA Style

Gu, Y., Zhou, Q., Zhou, H., Liu, M., Feng, D., Wei, J., Min, K., Zhu, W., Chen, Y., & Lv, X. (2023). A Randomized Study of Rigid Video Stylet versus Macintosh Laryngoscope for Double-Lumen Endobronchial Tube Intubation Assistance in Thoracoscopic Pulmonary Surgery. Journal of Clinical Medicine, 12(2), 540. https://doi.org/10.3390/jcm12020540

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