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Efficacy of visual double-lumen bronchial catheter in teaching lung isolation

Minhao Zhang1, Halisa Paerhati2, Miao Zhou1, Jiahui Chen3, Zhiyan Wang4, Lianbing Gu1, Pengyi Li1


1Department of Anesthesiology, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China. 2Department of Anesthesiology, the Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Nanjing 210009, Jiangsu Province, China. 3Affiliated Anesthesia College of Xuzhou Medical University, Xuzhou 221004, Jiangsu Province, China. 4Department of Nursing, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, the Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu Province, China.


Address correspondence to: Pengyi Li, Department of Anesthesiology, Jiangsu Cancer Hospital, Nanjing 210009, Jiangsu Province, China. Tel: +86-18252057979, Email: lipengyi@njmu.edu.cn.


DOI: https://doi.org/10.61189/937243auxvcj


Received December 4, 2024, Accepted March 3, 2025, Published April 1, 2025


Highlights

● The study highlights the effective integration of visual double-lumen bronchial catheters in anesthesia residency training. It significantly shortens intubation time, enhances first-attempt success rates and surgeon satisfaction.

● This approach notably reduces post-intubation complications, including pharyngeal pain, hoarseness, and dry cough, leading to better patient outcomes and enhanced educational efficacy.

Abstract

Objective: To assess the effectiveness of a visual double-lumen bronchial catheter in teaching lung isolation skills to anesthesia resident trainees. Methods: Between September 2023 and September 2024, 20 anesthesiology residents from Jiangsu Cancer Hospital were randomly divided into two groups: the visual double-lumen group (n=10) and the conventional double-lumen group (n=10). Randomization was achieved using a random number table. The study assessed several outcomes, including total intubation time, positioning time, one-time intubation success rate, intraoperative catheter displacement rate, surgeon satisfaction scores, and the incidence of postoperative complications (pharyngeal pain, hoarseness, and dry cough) within 24 hours. Results: The visual double-lumen group demonstrated superior results compared to the conventional double-lumen group in the following measures: total intubation time (70.2±11.8 s vs 224.9±35.6 s), positioning time (30.1±5.7s vs 176.6±26.4 s), one-time intubation success rate (85% vs 45%), intraoperative catheter displacement rate (10% vs 40%), surgeon’s intubation satisfaction score (8.10±1.07 vs 6.90±1.41), satisfaction score for pulmonary isolation (8.35±1.04 vs 6.55±1.36), and airway management satisfaction score (8.40±1.3 vs 6.70±1.34). Additionally, the incidence of postoperative pharyngeal pain (15% vs 45%), hoarseness (10% vs 40%), and dry cough (5% vs 35%) was significantly lower in the visual double-lumen group (all P<0.05). Conclusion: The visual double-lumen bronchial catheter significantly enhances the training of anesthesia residents in lung isolation by reducing intubation and positioning times, improving intubation success rate, increasing surgeon satisfaction, and reducing intubation-related complications. This method offers a more effective teaching approach compared to conventional techniques.

Keywords: Visual double-lumen catheter, pulmonary isolation, educational techniques, teaching effect, standardized residency training

Zhang MH, Paerhati H, Zhou M, Chen JH, Wang ZY, Gu LB, Li PY. Efficacy of visual double-lumen bronchial catheter in teaching lung isolation. Prog Med Educ. 2025 Apr; 1(1): 23-31. doi: 10.61189/937243auxvcj
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