Effectiveness of Detachment of the Breathing Circuit on the Rate of DLT Malposition After Postural Change
NCT06182371 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 256
Last updated 2026-04-29
Summary
The goal of this clinical trial is to assess the incidence of double-lumen endobronchial tube displacement in patients undergoing thoracic surgery with a change in position, compared with double-lumen endobronchial tube malposition in chest surgery patients with a fixed breathing circuit. The study is to investigate: whether detaching the breathing circuit in patients undergoing thoracic surgery would reduce the rate of double-lumen endobronchial tube malposition, the incidence of postoperative pulmonary complications, and improve patient outcomes.
Participants will be randomly divided into a disconnected breathing circuit group and a breathing circuit connected group and after entering the operating room, the intravenous access will be opened, and blood pressure, heart rate, electrocardiogram, oxygen saturation, arterial pressure, and end-expiratory carbon dioxide will be monitored. Anesthesia induction will be performed by an anesthesiologist, and then the double-lumen endobronchial tube will be inserted under laryngoscopic guidance. Will the catheter be delivered to the expected depth, the double-lumen endobronchial tube will be connected to the anesthesia machine for mechanical ventilation.
Researchers will compare the malposition rate of the double-lumen endobronchial tube when the patient transitions from the supine to lateral decubitus position, the effect of single-lung ventilation, oxygen saturation at 5 and 10 minutes after single-lung ventilation, and postoperative recovery time.
Conditions
- Intratracheal Intubation
- Patient Positioning
Interventions
- BEHAVIORAL
-
Disengage the breathing circuit
Disengage the breathing circuit when the position of the patient undergoing thoracic surgery changes
Sponsors & Collaborators
-
Shandong Provincial Hospital
lead OTHER_GOV
Principal Investigators
-
Jin Bao Mao, Ph.D. · Shandong Provincial Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-05-16
- Primary Completion
- 2025-12-08
- Completion
- 2025-12-08
Countries
- China
Study Locations
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