Evidence map›Paper›PMID 38627789›Full record

ArticleJournal of cardiothoracic surgery2024

Video double-lumen tube for one lung ventilation: implementation and experience in 343 cases of routine clinical use during the first 20 months of the SARS-CoV-2 pandemic.

Andrea Irouschek, Joachim Schmidt, Torsten Birkholz, Horia Sirbu, Andreas Moritz

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Andrea IrouschekDepartment of Anesthesiology, University Hospital Erlangen, Faculty of Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany. andrea.irouschek@uk-erlangen.de.
Joachim SchmidtDepartment of Anesthesiology, University Hospital Erlangen, Faculty of Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
Torsten BirkholzDepartment of Anesthesiology, University Hospital Erlangen, Faculty of Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
Horia SirbuDepartment of Thoracic Surgery, University Hospital Erlangen, Faculty of Medicine, Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Andreas MoritzDepartment of Anesthesiology, University Hospital Erlangen, Faculty of Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
Universitätsklinikum Erlangen · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDouble-lumen tubes (DLTs) are the preferred device for lung isolation. Conventional DLTs (cDLT) need a bronchoscopic position control. Visualisation of correct DLT positioning could be facilitated by the use of a video double-lumen tube (vDLT). During the SARS-CoV-2-pandemic, avoiding aerosol-generation was suggesting using this device. In a large retrospective series, we report both general and pandemic related experiences with the device.

methodsAll anesthesia records from patients aged 18 years or older undergoing surgery from April 1st, 2020 to December 31st, 2021 in the department of thoracic surgery requiring intraoperative lung isolation were analyzed retrospectively.

resultsDuring the investigation period 343 left-sided vDLTs (77.4%) and 100 left-sided cDLTs (22.6%) were used for one lung ventilation. In the vDLT group bronchoscopy could be reduced by 85.4% related to the cDLT group. Additional bronchoscopy to reach or maintain correct position was needed in 11% of the cases. Other bronchoscopy indications occured in 3.6% of the cases. With cDLT, in 1% bronchoscopy for other indications than conforming position was observed.

conclusionsThe Ambu® VivaSight™ vDLT is an efficient, easy-to-use and safe airway device for the generation of one lung ventilation in patients undergoing thoracic surgery. The vDLT implementation was achieved easily with full interchangeability to the left-sided cDLT. Using the vDLT can reduce the need for aerosol-generating bronchoscopic interventions by 85.4%. Continuous video view to the carina enabling position monitoring of the DLT without need for bronchoscopy might be beneficial for both employee's and patient's safety.

Indexed as

COVID-19One-Lung VentilationThoracic Surgical ProceduresBronchoscopyHumansIntubation, IntratrachealPandemicsRespiratory Aerosols and DropletsRetrospective StudiesSARS-CoV-2Double-lumen tubeOne lung ventilationSARS-CoV-2Thoracic surgeryVideo double-lumen tube

Identifiers

PMID38627789
PMCPMC11020909
OpenAlexW4394850473

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.