Awake fiberoptic double lumen tube insertion in five patients with anticipated difficult airways

Zoya Haitov, Shmuel Evron, Vladislav Gofman, Michael Chanimov

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Insertion of a double lumen tube in a patient with a difficult airway is a challenging procedure and requires considerable skill and experience. We performed a prospective study to assess the efficacy of awake fiberoptic intubation in patients with known difficult airways using a double lumen tube and a modified 90o anticlockwise rotation maneuver of the tube. Materials and methods: Five patients with American Society of Anesthesiologists physical status II, aged 45-60 years, Mallampati IV and with a known difficult airway, scheduled for thoracotomy for excision of a pulmonary tumor or metastasis, were recruited for this prospective study. Following premedication and topical lidocaine spray, fiberoptic intubation was performed using a double lumen tube sliding over the fiberoptic bronchoscope after a 90o anticlockwise rotation maneuver. We assessed the success rate of intubation, perioperative complications and side effects. Results: The double lumen tubes were successfully located in all five awake patients with no side effects or complications. Conclusions: Awake fiberoptic intubation using a double lumen tube in 5 patients with known difficult airways using a 90o anticlockwise rotation maneuver was shown to be a safe and simple technique.

Original languageEnglish
Pages (from-to)125-127
Number of pages3
JournalIndian Journal of Thoracic and Cardiovascular Surgery
Volume27
Issue number3
DOIs
StatePublished - Sep 2011

Keywords

  • Awake fiberoptic intubation
  • Difficult airway
  • Double-lumen endotracheal tube

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