成人电视辅助胸腔镜手术中使用 VivaSight 双腔管与传统双腔管的比较。
Comparison of VivaSight double-lumen tube with a conventional double-lumen tube in adult patients undergoing video-assisted thoracoscopic surgery.
机构信息
Department of Cardio-Thoracic Surgery, Carmel Medical Center, Haifa, Israel.
The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
出版信息
Anaesthesia. 2015 Nov;70(11):1259-63. doi: 10.1111/anae.13177. Epub 2015 Jul 20.
The efficiency of a double-lumen tube depends on its position in the airways, which can be verified by fibreoptic bronchoscopy. The VivaSight DL is a single-use double-lumen tube with a camera embedded in the tube's right side. The view from the camera appears continuously on a monitor. In this prospective study of 71 adult patients, we compared intubation times using either the VivaSight DL or a conventional double-lumen tube. Median (IQR [range]) duration of intubation with visual confirmation of tube position was significantly reduced using the VivaSight DL compared with the conventional double-lumen tube (51 (42-60 [35-118]) s vs 264 (233-325 [160-490]) s, respectively, p < 0.0001). None of the patients allocated to the VivaSight DL required fibreoptic bronchoscopy during intubation or surgery. The VivaSight DL enables significantly more rapid intubation compared with the conventional double-lumen tube.
双腔管的效率取决于其在气道中的位置，可以通过纤维支气管镜检查来验证。VivaSight DL 是一种一次性使用的双腔管，其右侧嵌入了一个摄像头。摄像头的视图会连续显示在监视器上。在这项对 71 名成年患者的前瞻性研究中，我们比较了使用 VivaSight DL 与传统双腔管插管的时间。与传统双腔管相比，使用 VivaSight DL 进行可视确认的插管时间显著缩短（51（42-60 [35-118]）s 比 264（233-325 [160-490]）s，p<0.0001）。在插管或手术期间，分配到 VivaSight DL 的患者均无需进行纤维支气管镜检查。与传统双腔管相比，VivaSight DL 可显著加快插管速度。
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