Evidence map›Paper›PMID 41088471›Full record

ReviewJournal of anesthesia, analgesia and critical care2025

Deciding how to decide the correct double-lumen tube: a narrative review of methods and evidence.

M Rispoli, G Calgaro, G Strano, G L Rosboch, D Massullo, F Piccirillo, M R Nespoli, F Coppolino, F Piccioni

Abstract readReview
In one paragraph

Review in Journal of anesthesia, analgesia and critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. 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

9 authors.

M RispoliAnesthesia and Intensive Care Unit, AO Dei Colli-Monaldi Hospital, Naples, Italy.
G CalgaroSchool of Anesthesia and Intensive Care, Humanitas University, Pieve Emanuele, Italy.
G StranoAnesthesia and Perioperative Medicine Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
G L RosbochAnesthesia and Intensive Care, Dipartimento Di Anestesia, Rianimazione Ed Emergenze, AOU Città Della Salute E Della Scienza, Turin, Italy.
D MassulloDivision of Anesthesiology, Sant'Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
F PiccirilloAnesthesia and Perioperative Medicine Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.
M R NespoliAnesthesia and Intensive Care Unit, AO Dei Colli-Monaldi Hospital, Naples, Italy.
F CoppolinoDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. francesco.coppolino@unicampania.it.
F PiccioniAnesthesia and Perioperative Medicine Unit, IRCCS Humanitas Research Hospital, Rozzano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The selection of the appropriate size of a double-lumen tube (DLT) is a critical yet often underestimated aspect of thoracic anaesthesia. The present narrative review evaluates traditional and emerging methods for determining DLT size, including anthropometric formulas, chest X-rays, CT scans, and ultrasonography. Despite the prevalence of height- and gender-based predictions, mounting evidence underscores their restricted correlation with airway anatomy. Chest X-rays and CT scans have been shown to offer more accurate estimations of tracheobronchial dimensions, while ultrasound has been identified as a promising bedside tool. Recent meta-analytic evidence and technological advancements, including 3D reconstruction and AI-based modelling, may support a more personalised and safer approach. It is recommended that a pragmatic, image-guided strategy be employed to minimise airway trauma, improve lung isolation, and optimise patient outcomes.

Indexed as

Airway managementDLT sizingLung isolationOne-lung ventilationThoracic anaesthesia

Identifiers

PMID41088471
PMCPMC12522624

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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.