Comparing two ways to place a double-lumen breathing tube: bronchoscope plus video laryngoscope versus video laryngoscope alone
Effect of Combined Use of Flexible Bronchoscope on First-attempt Sucess in Tracheal Double Lumen Tube Intubation Using Videolaryngosocpe: A Randomized Controlled Trial
We will test whether adding a flexible bronchoscope to a video laryngoscope helps doctors place double-lumen breathing tubes on the first try for people having thoracic (one-lung) surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 130 (estimated) |
| Ages | 19 Years and up |
| Sex | All |
| Sponsor | Kyung Hee University Hospital at Gangdong Academic / other |
| Locations | 1 site (Seoul) |
| Trial ID | NCT07241208 on ClinicalTrials.gov |
What this trial studies
This interventional study compares first-attempt success of double-lumen tube insertion using video laryngoscopy alone versus video laryngoscopy combined with flexible bronchoscopy guidance. Patients scheduled for thoracic surgery who require one-lung ventilation and meet inclusion criteria are assigned to one of the two intubation approaches. The primary outcome is first-pass intubation success, with other measures likely including intubation time, airway trauma, and need for additional attempts or adjuncts. All procedures are performed in the operating room at a single center by anesthesiologists familiar with both devices.
Who should consider this trial
Good fit: Ideal candidates are adults scheduled for thoracic surgery who need a double-lumen tube for one-lung ventilation, have ASA physical status I–III, BMI between 18.5 and 35, and no prior airway surgery or obstructing pathology.
Not a fit: Patients with very low or very high BMI, prior airway surgery, suspected high aspiration risk, or tumors/inflammation of the oropharynx or larynx are excluded and likely would not benefit from this protocol.
Why it matters
Potential benefit: If successful, the approach could increase first-pass intubation success, lowering airway trauma and complications during thoracic surgery.
How similar studies have performed: Bronchoscopic guidance is commonly used to confirm or guide double-lumen tube placement, but randomized comparisons specifically of first-attempt success versus video laryngoscope alone are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Scheduled operation 2. Patients required to double lumen tube insertion for thoracic surgery 3. ASA PS 1, 2, 3 Exclusion Criteria: 1. BMI \<18.5 or 35.0 2. history of airway surgery 3. suspicious of high aspiration risk 4. Pathology in oropharynx or larynx such as tumor, poly, or inflammation
Where this trial is running
Seoul
- Kyung Hee University Hospital at Gangdong — Seoul, South Korea (Recruiting)
Study contacts
- Study coordinator: Hyungseok Suh
- Email: seohyungseok@gmail.com
- Phone: +82-10-2930-6885
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.