Comparison of the efficacy of fiberoptic bronchoscopy and wireless video endoscope (disposcope®) in confirmation of the position of double lumen endotracheal tube Çift lümenli endotrakeal tüp pozisyonunun doʇrulanmasinda fiberoptik bronkoskop ile kablosuz video endoskopun (disposcope®) karşilaştirilmasi
Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi, cilt.20, sa.3, ss.149-153, 2014 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 20 Sayı: 3
- Basım Tarihi: 2014
- Doi Numarası: 10.5222/gkdad.2014.149
- Dergi Adı: Gogus-Kalp-Damar Anestezi ve Yogun Bakim Dernegi Dergisi
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.149-153
- Anahtar Kelimeler: Double-lumen tube, Endoscope, Flexible fiberoptic bronchoscopy, One-lung ventilation, Thoracic surgery
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: In thoracic surgery, the position of double-lumen endotracheal tube placed in order to provide one-lung ventilation can be confirmed by various methods. In this study, we aimed to compare the groups undergoing thoracic surgery with fiberoptic bronchoscope or wireless video endoscope in confirmation of the position of double-lumen endotracheal tube with regard to success and duration of visualisation and the time until the begining of surgery. Material and Method: After the approval of the ethics committee, forty voluntary patients undergoing thoracic surgery with double-lumen endotracheal tube were included in the study. After intubation, the location of the double-lumen endotracheal tubes were evaluated, and corrected by conventional methods. The patients were randomly divided in two groups as video endoscope (Group I, n=20) and fiberoptic bronchoscope (Group II, n=20) groups. Afterwards, duration of visualisation and the time until the begining of surgery were recorded in both groups. Results: There wasn't any statistically significant difference between two groups in confirmation of the position of the double-lumen endotracheal tube. Malposition of double-lumen endotracheal tube was detected and corrected in three (15%), and seven (35%) patients (15%) in Groups 1 and 2. visualisation times were 18 sec in Group I and 131 sec in Group 2 (p<0.05), and the times elapsed until the begining of surgery were 468 sec in Group I and 690 sec in Group 2, respectively (p<0.05). Conclusion: As a result, it has been observed that both methods were effective in the confirmation of the position of double-lumen endotracheal in thoracic surgery. Apart from that, in the confirmation of the position of the double-lumen endotracheal tube and earlier referral to surgery, we concluded that wireless video endoscope may shorten evaluation time.