title: Comparison of VivaSight double-lumen tube with a conventional double-lumen tube in adult patients undergoing video-assisted thoracoscopic surgery.
abstract: The efficiency of a double-lumen tube depends on its position in the airways, which can be verified by fibreoptic bronchoscopy. The VivaSight DL is a single-use double-lumen tube with a camera embedded in the tube's right side. The view from the camera appears continuously on a monitor. In this prospective study of 71 adult patients, we compared intubation times using either the VivaSight DL or a conventional double-lumen tube. Median (IQR [range]) duration of intubation with visual confirmation of tube position was significantly reduced using the VivaSight DL compared with the conventional double-lumen tube (51 (42-60 [35-118]) s vs 264 (233-325 [160-490]) s, respectively, p < 0.0001). None of the patients allocated to the VivaSight DL required fibreoptic bronchoscopy during intubation or surgery. The VivaSight DL enables significantly more rapid intubation compared with the conventional double-lumen tube.
authors.affiliation: Department of Cardio-Thoracic Surgery, Carmel Medical Center, Haifa, Israel.|The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
authors.forename: D
authors.initials: D
authors.lastname: Levy-Faber
authors.affiliation: The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
authors.forename: Y
authors.initials: Y
authors.lastname: Malyanker
authors.affiliation: Department of General Thoracic Surgery, Rambam Health Care Campus, Technion-Israel Institute of Technology, Haifa, Israel.
authors.forename: R-R
authors.initials: RR
authors.lastname: Nir
authors.affiliation: Department of General Thoracic Surgery, Rambam Health Care Campus, Haifa, Israel.
authors.forename: L A
authors.initials: LA
authors.lastname: Best
authors.affiliation: The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.|Department of Anaesthesiology, Rambam Health Care Campus, Haifa, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Barak
mesh_terms: D000368:Aged; D004867:Equipment Design; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011446:Prospective Studies; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation* / Q000379:methods