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British Journal of Anaesthesia, Vol 82, Issue 6 920-921, Copyright © 1999 by The Board of Management and Trustees of the British Journal of Anaesthesia

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Placement of left-sided double-lumen endobronchial tubes: comparison of clinical and fibreoptic-guided placement

K. F. Cheong and K. F. Koh
Department of Anaesthesia, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074

We have compared a new intubation manoeuvre using a fibreoptic bronchoscope with conventional blind placement of a double-lumen tube. Thirty adult patients who presented for thoracoscopy requiring one-lung ventilation underwent endobronchial intubation with a double-lumen tube inserted either in the conventional blind way or using a fibreoptic bronchoscope. There were four misplacements of the double-lumen tube using the conventional method but none using the bronchoscope. In addition, the bronchoscope allowed more rapid intubation (mean 106 vs 347 s). The results suggest that the fibreoptic-guided method of inserting the double-lumen tube was a satisfactory alternative to the conventional one.
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