Anest. intenziv. Med. 2014;25(4):274-276

Initial experience with the Vivasight ETView® double-lumen fibreoptic tube in thoracic surgeryAnaesthesiology - Original Paper

Bicek Vladimír, Krečmerová Martina, Ungermannová Veronika, Vymazal Tomáš^*

Klinika anesteziologie, resuscitace a intenzivní medicíny 2. LF UK ve FN v Motole

Objective:
The double-lumen fibreoptic tube Vivasight ETView^® is a new tool that allows lung isolation without the use of a fibrescope. The aim of the study was to evaluate the success and complication rates of its insertion in thoracic surgery procedures.

Design:
Prospective observational study (clinical audit).


Settings:
Department of Anaesthesiology and Intensive Care Medicine, University Hospital.

Material and methods:
We evaluated the success rate, speed of insertion, incidence of malposition and other complications associated with the insertion of a fibreoptic double-lumen tube in 65 patients scheduled for thoracic surgery requiring separation of the lungs.

Results:
The tube was successfully inserted in 64 of 65 patients (98.5%). One patient (1.5%) experienced tube dislocation requiring subsequent repositioning using a flexible bronchoscope. The average speed of insertion was 23.4 (± 4.67) seconds. We did not observe any significant differences in the insertion success rates between experienced anaesthesiologists and trainees.

Conclusion:
The double-lumen Vivasight ETView^® fibreoptic cannula is a good tool for the separation of the lungs in thoracic anaesthesia. It is also suitable for educational purposes.

Keywords: thoracic anaesthesia; double-lumen fibreoptic tube; Vivasight ETView®; insertion success rate

Received: January 31, 2014; Accepted: April 2, 2014; Published: August 1, 2014  Show citation