Evidence map›Paper›PMID 39511494›Full record

Trial reportBMC pulmonary medicine2024

A visual laryngoscope combined with a fiberoptic bronchoscope improves intubation outcomes in patients with predicted difficult airways in thoracic surgery.

Hui-Zhong Hu, Xiang-Xiang Cheng, Tao Zhang, Guang-Lei Zhang, Guan-Jun Zhang, Wei-Wei Wu, Ren-Hu Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
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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

7 authors.

Hui-Zhong HuDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, 237000, China.
Xiang-Xiang ChengDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, 237000, China.
Tao ZhangDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, 237000, China.
Guang-Lei ZhangDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, 237000, China.
Guan-Jun ZhangDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, 237000, China.
Wei-Wei WuDepartment of Anesthesiology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230000, China.
Ren-Hu LiDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, 237000, China. lirenhu2008@163.com.

Funding

the Research Fund for Science and Technology Program Projects in Luan 2023lakj017the Research Fund of Anhui Medical University 2022xkj200
6 · The paper itself

Abstract

objectiveTo study the clinical effectiveness of visual laryngoscopy combined with fiberoptic bronchoscopy-guided double-lumen endotracheal tube intubation in thoracic surgery patients with predicted difficult airways in thoracic surgery airways.

methodsWe randomly divided 162 patients with predicted difficult airways who required double-lumen tracheal intubation for thoracic surgery and randomly divided them into the video laryngoscopy group (Group VL, n = 54),fiberoptic bronchoscopy group (Group F, n = 54), and video laryngoscopy combined with fiberoptic bronchoscopy group (Group FVL, n = 54) according to the randomized number table method. Then, the success rate of the first intubation, the duration of intubation, the duration of positioning, the degree of exposure of the vocal cords (Cormack-Lehane grade), and the adverse reactions during intubation were recorded and analyzed.

resultsThe success rate of first-time intubation was significantly higher in the FVL group than in the F and VL groups (92.6% vs. 87.0% vs. 53.7%, P < 0.001), and the time of intubation in the FVL group was significantly shorter than that in the VL and F groups [(26.22 ± 9.34) s vs. (42.35 ± 11.21) s vs. (46.78 ± 21.96) s, P < 0.001)]. The positioning time in the FVL group was significantly shorter than that in the F and VL groups [(83.76 ± 15.18) s vs. (102.72 ± 21.89) s vs. (145.41 ± 20.12) s, F = 144.896, P < 0.001)].The number of patients with Cormack-Lehane grades I-II was significantly lower in the FVL group and the VL group than in the F group (88.9% vs. 77.8% vs. 59.3%, P < 0.05).The incidence of postoperative sore throat was significantly lower in the FVL group and the F group than in the VL group (22.4% vs. 27.6% vs. 50%, P < 0.001).

conclusionIn difficult airway patients with high airway risk indices who require double-lumen endotracheal intubation, visual laryngoscopy combined with fiberoptic bronchoscopy improved the success rate of first-time intubation and shortened the intubation and positioning time.

trial registrationChinese Clinical Trial Register (identifier: ChiCTR2300076304; Date of registration: September 29, 2023).

Indexed as

BronchoscopyFiber Optic TechnologyIntubation, IntratrachealLaryngoscopesLaryngoscopyAdultAgedBronchoscopesFemaleHumansMaleMiddle AgedThoracic Surgical ProceduresDifficult airwaysDouble-lumen bronchial intubationFiberoptic bronchoscopyVideo laryngoscopy

Identifiers

PMID39511494
PMCPMC11542200

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Registered trials

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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.