Annals of cardiac anaesthesia
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Randomized Controlled Trial
A randomized trial to assess the utility of preintubation adult fiberoptic bronchoscope assessment in patients for thoracic surgery requiring one-lung ventilation.
Confirmation of placement of Double lumen endobronchial tubes (DLETT) and bronchial blockers (BBs) with the pediatric fiberoptic bronchoscope (FOB) is the most preferred practice worldwide. Most centers possess standard adult FOBs, some, particularly in developing countries might not have access to the pediatric-sized devices. We have evaluated the role of preintubation airway assessment using the former, measuring the distance from the incisors to the carina and from carina to the left and right upper lobe bronchus in deciding the depth of insertion of the lung isolation device. ⋯ Preintubation airway measurements with the adult FOB reduces airway manipulations and improves the success rate of optimal placement of DLETT and BB.
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Randomized Controlled Trial Comparative Study
Comparison between long- and short-axis techniques for ultrasound-guided cannulation of internal jugular vein.
Real-time ultrasound guidance for internal jugular (IJ) vein cannulation enhances safety and success. ⋯ Both techniques have similar outcomes when used for IJ vein cannulation.