ArticleScientific reports2025
Disposcope endoscope guidance versus fiberoptic bronchoscopy guidance for double-lumen tube intubation in patients undergoing thoracic surgery: a randomized controlled non-inferiority trial.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Video double-lumen endotracheal tube reduces hypoxemia during one-lung ventilation in thoracoscopic surgery: a prospective randomized controlled trial.Journal of thoracic disease · 2026Article
- Pre-shaping double-lumen endotracheal tubes based on video laryngoscope blade curvature enhances first-attempt intubation success rate in patients undergoing thoracoscopic surgery: a randomized controlled trial.Frontiers in medicine · 2025Article
- Airway management and one-lung ventilation strategies during hepatic histotripsy: a retrospective service evaluation from a single institution in Hong Kong.Anaesthesia reportsArticle
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8 authors.
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Abstract
Double-lumen tube (DLT) intubation is frequently performed for thoracic surgery, and a fiberoptic bronchoscopy (FOB) can improve the success rate of correct placement. Disposcope endoscope-guided DLT intubation was recently introduced and has a high first-attempt success rate. We tested whether compared with FOB-guided DLT intubation, disposcope endoscope-guided DLT intubation results in a non-inferior first-attempt success rate. A total of 181 patients who underwent thoracic surgery and required DLT intubation were randomly assigned to two groups: FOB guidance (FOB group) and disposcope endoscope guidance (DE group). The primary outcome was the first-attempt success rate. The secondary outcomes included the number of attempts, first intubation time, intraoperative dislodgement, and changes in the mean arterial pressure (MAP) and heart rate (HR) after intubation. The difference in the first DLT attempt success rate between the groups did not exceed the non-inferiority margin of 8% (DE group: 91.3% vs. FOB group: 89.9%; difference: 1.4%, 95% exact CI: -7.1-9.9%). The difference in the number of multiple DLT attempts also did not differ between the DE group and the FOB group (two attempts: 6.5% vs. 6.7%, P = 0.953; three attempts: 2.2% vs. 3.4%, P = 0.120). The first DLT intubation time [66 (55-86) vs. 77 (64-98) s, P = 0.010] was significantly shorter in the DE group. No significant differences were observed in the intraoperative dislodgement or changes in the MAP or HR after intubation (P > 0.05). Compared with FOB guidance, disposcope endoscope guidance provided a non-inferior first-attempt success rate and a shorter first intubation time for DLT intubation.
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