Left double-lumen tube with or without a carinal hook. Issue 6 (June 2015)

• Record Type: Journal Article
• Authors: Dumans-Nizard, Virginie; Parquin, Jean-François; Moyer, Jean-Denis; Dreyfus, Jean François; Fischler, Marc; Le Guen, Morgan
• Is Part Of: European journal of anaesthesiology. Volume 32:Issue 6(2015:Jun.)
• Publication Date: 2015-06
• Subjects: Anesthesiology -- Periodicals; Anesthesiology -- Periodicals; Anesthésiologie -- Périodiques; Anesthesiology; Periodicals; Electronic journals; 617.96
• DOI: 10.1097/EJA.0000000000000201
• Languages: English
• ISSNs: 0265-0215

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>BACKGROUND</title> <p>Left double-lumen tracheal tubes (DLTs), with or without a hook to engage the carina, remain the standard device for lung isolation during anaesthesia.</p> </sec> <sec> <title>OBJECTIVE</title> <p>The purpose of the study was to compare these DLTs with and without a hook.</p> </sec> <sec> <title>DESIGN</title> <p>A randomised, controlled, single-blinded study.</p> </sec> <sec> <title>SETTING</title> <p>University hospital.</p> </sec> <sec> <title>PARTICIPANTS</title> <p>One hundred and eighty-four patients undergoing lung resection.</p> </sec> <sec> <title>MAIN OUTCOME MEASURE</title> <p>Time required to position the tube from the introduction of the tube into the mouth to confirmation of correct placement in the supine position.</p> </sec> <sec> <title>RESULTS</title> <p>Baseline characteristics were well balanced between the groups. Time to place DLTs was similar in both groups: median (interquartile range, IQR) 81.0 (50.0 to 146.2) s for DLTs without a hook and 67.5 s (45.0 to 138.7) for DLTs with a hook (<italic>P</italic> = 0.43). The incidence of adequate position at the first attempt was 68.5% in the No hook group and 69.6% in the Hook group (<italic>P</italic> = 0.95). Patients in both groups suffered similar incidences of sore throat at day 0 and day 1 (<italic>P</italic> = 0.80 and <italic>P</italic> = 0.20, respectively). No major lesion of the vocal cords or tracheobronchial tree was discovered and the incidence of minor lesions was similar in both groups.</p> </sec> <sec> <title>CONCLUSION</title> <p>When a DLT is used, the presence of a carinal hook gives neither advantage nor added complications.</p> </sec> <sec> <title>TRIAL REGISTRATION</title> <p>ClinicalTrials.gov, NCT00969683.</p> </sec> </abstract>