title: A six-month evaluation of the VivaSight™ video double-lumen endotracheal tube after introduction into thoracic anaesthetic practice at a single institution.
abstract: For a six-month period, all airway options used for non-emergent patients undergoing thoracic surgery requiring one-lung ventilation at a single institution were assessed after introduction of the VivaSight™ double-lumen endotracheal tube (VivaSight-DL), a novel double-lumen tube with an integrated camera. This device displays a continuous view of the position of the tube relative to the carina. A total of 72 patients had lung separation with the VivaSight-DL. Lung separation was achieved on first attempt without additional manipulation in 85% of cases. In only three cases (4%) was a fibreoptic bronchoscope required, in each instance to reposition the tube after intraoperative dislodgement. The VivaSight-DL represents a novel method of one-lung ventilation allowing rapid identification of intraoperative airway problems and reducing the need for fibreoptic bronchoscopy.
authors.affiliation: Clinical Head, Acute Pain Service, Department of Anaesthesia and Perfusion Services, Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland.
authors.forename: I L
authors.initials: IL
authors.lastname: Rapchuk
authors.affiliation: Staff Specialist Anaesthetist, Department of Anaesthesia and Perfusion Services, The Prince Charles Hospital, Brisbane, Queensland.
authors.forename: Sam
authors.initials: S
authors.lastname: Kunju
authors.affiliation: Staff Specialist Anaesthetist, Anaesthesia and Perfusion Services, The Prince Charles Hospital, Brisbane, Queensland.
authors.forename: I J
authors.initials: IJ
authors.lastname: Smith
authors.affiliation: Staff Specialist Anaesthetist, Department of Anaesthesia and Perfusion Services, The Prince Charles Hospital, Brisbane, Queensland.
authors.forename: D J
authors.initials: DJ
authors.lastname: Faulke
mesh_terms: D000328:Adult; D000368:Aged; D020680:Bronchoscopes; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D061810:One-Lung Ventilation; D011446:Prospective Studies; D019616:Thoracic Surgical Procedures
keywords: anaesthesia, thoracic, one-lung ventilation, double-lumen endobronchial tube, VivaSight-DL