ArticleInternational journal of surgery (London, England)2025
Comparison of clinical characteristics of different ventilation devices for one-lung ventilation in adults: a network meta-analysis.
Article in International journal of surgery (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Preoperative Stellate Ganglion Block for Postoperative Sore Throat in Patients Undergoing Double-Lumen Endotracheal Intubation: A Randomized Clinical Trial.Drug design, development and therapy · 2026Trial
- Perioperative anesthesia management for video-assisted thoracoscopic surgery procedures in Austria : A national survey.Wiener klinische Wochenschrift · 2026Article
- Utility of bronchial blocker placement in the lateral versus supine position for thoracoscopic surgery: a randomised controlled trial in China.EClinicalMedicine · 2026Article
- Bayesian statistics: a primer for perioperative medicine clinicians.Perioperative medicine (London, England) · 2026Article
- Research progress in the application of double-lumen endobronchial tubes and bronchial blockers in thoracic surgery.Frontiers in medicine · 2026Review
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Authors and funding
7 authors.
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Abstract
objectivesDifferent ventilation devices, including double-lumen tube (DLT), video DLT (VDLT), and various bronchial blockers (BBs), were used for one-lung ventilation (OLV). This study aimed to assess the clinical characteristics of 12 OLV devices to identify the optimal ventilation strategy for different situations.
methodsPubMed, Embase, Web of Science, and the Cochrane Library were searched following the PICOS principle to retrieve relevant randomized controlled trials (RCTs) up to 18 November 2023. Network meta-analysis was conducted using R 4.3.2, StataSE15, and Review Manager 5.3 software to compare the clinical characteristics of these OLV devices, including the quality of lung collapse, malposition rate, time for device placement, the success of the first intubation attempt, postoperative sore throat, and hoarseness.
resultsIn summary, this study involved 33 RCTs with a total of 2177 patients to evaluate the clinical characteristics of 12 ventilation devices. Compared to the Arndt BB, DLT provided higher lung collapse quality and was less prone to malposition. According to the Ranking probabilities, the VDLT had a shorter placement time, while the Coopdech BB (CBB) had a higher success rate on the first intubation attempt. The Cohen Flex-Tip BB resulted in less hoarseness, and the CBB had a lower incidence of sore throat.
conclusionDLT demonstrated reliable lung collapse quality. VDLT allowed for quicker placement and continuous airway monitoring. BBs had fewer complications and were easier to place but had a higher risk of malposition. Therefore, choosing an OLV device depends on the patient's clinical status and surgical needs.
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