A six-month evaluation of the VivaSight™ video double-lumen endotracheal tube after introduction into thoracic anaesthetic practice at a single institution

Anaesth Intensive Care. 2017 Mar;45(2):189-195. doi: 10.1177/0310057X1704500208.

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.

Keywords: anaesthesia, thoracic, one-lung ventilation, double-lumen endobronchial tube, VivaSight-DL.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Bronchoscopes
  • Female
  • Fiber Optic Technology
  • Humans
  • Intubation, Intratracheal / instrumentation*
  • Male
  • Middle Aged
  • One-Lung Ventilation*
  • Prospective Studies
  • Thoracic Surgical Procedures*