Effect of lidocaine aerosol on cardiovascular response and postoperative sore throat, hoarseness in patients receiving double lumen tube intubation

2014 ◽  
Vol 35 (11) ◽  
pp. 1284
Author(s):  
Lin ZENG ◽  
Yong-hua LI ◽  
Ming-bo YI ◽  
Wei LI
Keyword(s):  
Sore Throat ◽  
Cardiovascular Response ◽  
Double Lumen Tube ◽  
Postoperative Sore Throat ◽  
Double Lumen ◽  
Lumen Tube

Airway Injuries after One-lung Ventilation: A Comparison between Double-lumen Tube and Endobronchial Blocker

2006 ◽  
Vol 105 (3) ◽  
pp. 471-477 ◽  
Author(s):  
Heike Knoll ◽  
Stephan Ziegeler ◽  
Jan-Uwe Schreiber ◽  
Heiko Buchinger ◽  
Patric Bialas ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Sore Throat ◽  
Lung Ventilation ◽  
Double Lumen Tube ◽  
Cumulative Number ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Endobronchial Blocker ◽  
The Impact

Background Vocal cord injuries, postoperative hoarseness, and sore throat are common complications after general anesthesia. One-lung ventilation can be achieved via two techniques: double-lumen endotracheal tube or endobronchial blocker such as the Arndt blocker. The current study was designed to assess the impact of these techniques for one-lung ventilation on the incidence and severity of postoperative hoarseness, vocal cord lesions, and sore throat. Methods In this prospective trial, 60 patients were randomly assigned to two groups. One-lung ventilation was achieved with either an endobronchial blocker (blocker group) or a double-lumen-tube (double-lumen group). Postoperative hoarseness and sore throat were assessed at 24, 48, and 72 h after surgery. Bronchial injuries and vocal cord lesions were examined by bronchoscopy immediately after surgery. Results In 56 included patients, postoperative hoarseness occurred significantly more frequently in the double-lumen group compared with the blocker group: 44% versus 17%, respectively (P = 0.046). Similar findings were observed for vocal cord lesions: 44% versus 17%, respectively (P = 0.046). The incidence of bronchial injuries was comparable between groups (P = 0.540). Cumulative number of days with hoarseness and sore throat were significantly increased in the double-lumen group compared with the blocker group (P < 0.01). No major complications such as bronchial ruptures were observed. Conclusions Clinicians should be aware of an increased incidence of minor airway injuries that may impair patient satisfaction when using a double-lumen tube instead of an endobronchial blocker for one-lung ventilation.

scholarly journals Comparison of prophylactic effect of topical Alchemilla vulgaris in glycerine versus that of dexamethasone on postoperative sore throat after tracheal intubation using a double-lumen endobronchial tube: a randomized controlled study

2021 ◽  
Author(s):  
Chan Jong Chung ◽  
Seong Yeop Jeong ◽  
Joon Ho Jeong ◽  
Sung Wan Kim ◽  
Kyung Hyun Lee ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Sore Throat ◽  
Normal Saline ◽  
Rating Scale ◽  
Double Lumen Tube ◽  
Controlled Study ◽  
Postoperative Sore Throat ◽  
Double Lumen ◽  
Double Blind ◽  
Oropharyngeal Cavity

Background: Sore throat and hoarseness frequently occur following general anesthesia with tracheal intubation and are effectively reduced when dexamethasone is used prophylactically. Alchemilla vulgaris in glycerine (Neo Mucosal Activator®) suppresses inflammatory response, possibly relieving sore throat.Methods: We enrolled 94 patients (age ≥ 18 years) scheduled for thoracic surgery using double-lumen tube intubation. Before intubation, 0.2 mg/kg of dexamethasone was administered intravenously and 2 ml of normal saline was sprayed into the oropharyngeal cavity (Group D; n = 45), or 0.04 ml/kg normal saline was administered intravenously and 1 g of Neo Mucosal Activator® mixed with 1 ml of normal saline was sprayed into the oropharyngeal cavity (Group N; n = 43), in a double blind and prospectively randomized manner. Postoperative sore throat and hoarseness were recorded using a numeral rating scale and a 4-point scale to detect a change in voice quality following tracheal extubation (at 1, 6, and 24 h). The primary outcome was the incidence of sore throat at 24 h following surgery. The secondary outcomes were incidence and severity of sore throat and hoarseness.Results: There were no significant differences in the incidence of sore throat at 24 h following surgery (57.8% vs. 46.5%; P = 0.290) or in the incidence and intensity of sore throat and hoarseness at 1, 6, and 24 h following surgery between the groups. Conclusions: A. vulgaris in glycerine did not significantly differ from dexamethasone for preventing sore throat and hoarseness owing to intubation.

scholarly journals Sore Throat or Hoarse Voice with Bronchial Blockers or Double-Lumen Tubes for Lung Isolation: A Randomised, Prospective Trial

2008 ◽  
Vol 36 (6) ◽  
pp. 441-446
Author(s):  
T. Zhong ◽  
W. Wang ◽  
J. Chen ◽  
L. Ran ◽  
D. A. Story
Keyword(s):  
Sore Throat ◽  
Prospective Trial ◽  
Lung Ventilation ◽  
Double Lumen Tube ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Lung Isolation ◽  
Endobronchial Blocker ◽  
Hoarse Voice

Double-lumen endotracheal tubes and bronchial blockers allow lung isolation for one-lung ventilation. Few studies, however, directly compare these devices. Further, a new endobronchial blocker (Coopdech) is available in some countries. Our primary hypothesis was that bronchial blockers would be associated with less sore throat or hoarse voice than double-lumen tubes. Secondary outcomes were successful one-lung ventilation and surgical access. In this prospective trial, 120 Chinese patients undergoing elective surgery were randomly assigned to one of four groups of 30 patients: Coopdech blocker, Arndt blocker, Univent tube or double-lumen tube. Postoperative sore throat and hoarse voice were assessed in the recovery room and 24 hours after surgery. The incidence and severity of sore throat or hoarse voice was less in the blocker groups than double-lumen tube group: Coopdech 13%, Arndt 20%, Univent 30% and double-lumen tube 60%, P <0.001. The blocker groups did not significantly differ, P=0.28. Compared to the double-lumen tubes the bronchial blockers took about two minutes less to position but five minutes longer for lung deflation. Surgical exposure was uniformly good across the four groups. We conclude that clinical use of the Coopdech endobronchial blocker is similar to the Arndt and Univent blockers and that all three are associated with less sore throat or hoarse voice than double-lumen tubes.

How clinical experience leads anesthetists in the choice of double-lumen tube size

2016 ◽  
Vol 32 ◽  
pp. 1-3 ◽  
Author(s):  
Gianluca Zani ◽  
Maitan Stefano ◽  
Bizzarri Federico Tommaso ◽  
Rispoli Marco ◽  
Buono Salvatore ◽  
...  
Keyword(s):  
Clinical Experience ◽  
Double Lumen Tube ◽  
Double Lumen ◽  
Tube Size ◽  
Lumen Tube

Colonic interposition for oesophageal replacement surgery in a patient with left broncho-oesophageal fistula: anaesthetic management

2021 ◽  
Vol 14 (8) ◽  
pp. e243738
Author(s):  
Kavitha Girish ◽  
Ameya Pappu ◽  
Rashmi Ramachandran ◽  
Vimi Rewari
Keyword(s):  
Positive Pressure Ventilation ◽  
Perioperative Period ◽  
Anaesthetic Management ◽  
Double Lumen Tube ◽  
Positive Pressure ◽  
Colonic Interposition ◽  
Double Lumen ◽  
Lumen Tube ◽  
Replacement Surgery ◽  
Risk Of Aspiration

Management of an uncorrected broncho-oesophageal fistula in the perioperative period is a challenge for the anaesthesiologist. Positive pressure ventilation which is inevitable during surgery will lead to gastric insufflation and there is a high risk of aspiration of gastric contents. In this case report, we discuss how we used a double lumen tube to occlude a pericarinal broncho-oesophageal fistula. This method was quite effective as it obviated the need for isolating the lung as well as ensured smooth delivery of positive pressure ventilation during the surgery.

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