NCT02361983

Airway Management in Thoracic Anesthesia in Italy

Airway Management in Thoracic Surgery and Incidence Rate of Dislocation and Related Intraoperative Hypoxemia: State of the Art in Italy

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 2,225 (actual)
• Sponsor: Azienda Ospedaliera S. Maria della Misericordia · Academic / Other
• Sex: All
• Age: 18 Years – 90 Years
• Healthy volunteers: Not accepted

Summary

The aim of this study is to evaluate the positioning time and the malpositioning rate of DLTs and BBs, the degree of difficulty perceived in device positioning, the use of bronchoscopy (BRO), and the quality of lung collapse achieved during ONE LUNG VENTILATION.

Detailed description

Safety and efficacy of the double-lumen tubes (DLT) and bronchial blockers (BB) for lung isolation in patients undergoing thoracic surgery have been extensively studied and most of the results show similar rates of successful placement and lung collapse. DLT and BB are more frequently inserted by anesthetists who are expert in thoracic anesthesia, with dedicated but different training. The first objective of this study was to evaluate the positioning time and the malpositioning rate of DLTs and BBs, the degree of difficulty perceived in device positioning, the use of bronchoscopy (BRO), and the quality of lung collapse achieved during OLV. A prospective observational study was designed. To check the optimal DLT (Broncho-Cath Covidien, Ireland, Dublin, Teleflex Medical, Athlone, Irelanad) and/or BB (Uniblocker, Phycon, Fuji, Japan Arndt Cohen Cook, Australia), placement a fiberoptic bronchoscope (FOB) was used. The lung collapse was assessed by surgeons. Time from laringoscopy to the correct placement of the device, confirmed with FOB, was checked. Data were analyzed with Student't Test and Chi-square test; p value \< 0.05 was considered to be significant.

Conditions

• Mechanical Ventilation Complication

Interventions

Type	Name	Description
DEVICE	Double lumen tube	Patients managed with a double lumen tube for one lung ventilation
DEVICE	Bronchial blocker	Patients managed with a bronchial blocker for one lung ventilation

Timeline

• Start date: 2012-07-01
• Primary completion: 2013-11-01
• Completion: 2014-12-01
• First posted: 2015-02-12
• Last updated: 2025-10-01

Locations

1 site across 1 country: Italy