[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"double-lumen-tube-intubation\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:double-lumen-tube-intubation":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,4,0,[8,50,82,115],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100620836","video-guided-versus-conventional-right-sided-double-lumen-tubes-for-one-lung-ventilation-in-thoracoscopic-surgery-100620836",false,"NCT07362797","Video-guided Versus Conventional Right-sided Double-Lumen Tubes for One-Lung Ventilation in Thoracoscopic Surgery","Video-guided Versus Conventional Right-sided Double-Lumen Tubes for One-Lung Ventilation in Thoracoscopic Surgery: A Multicentre Randomized Controlled Trial","RIGHT-VDLT","\\*\\*Inclusion Criteria:\\*\\*\n\n1. Adults aged 18 years or older.\n2. American Society of Anesthesiologists physical status I-III.\n3. Scheduled for elective thoracoscopic surgery requiring one-lung ventilation with a right-sided double-lumen tube.\n4. Able to provide written informed consent.\n\n\\*\\*Exclusion Criteria:\\*\\*\n\n1. Contraindication to placement of a right-sided double-lumen tube, including a lesion involving the right main bronchus that precludes its use.\n2. Known tracheobronchial anatomical abnormality that may interfere with right-sided double-lumen tube placement or lung isolation.\n3. Known or anticipated difficult airway.\n4. Requirement for rapid-sequence induction.\n5. Emergency surgery.\n6. Severe respiratory instability that, in the investigator's judgement, makes participation unsafe.\n7. Concurrent participation in another interventional clinical trial that could interfere with the present study.","ALL","18 Years",{"count":20,"type":21},566,"ESTIMATED","INTERVENTIONAL",[24],"NA","This multicentre randomised controlled trial compares a video-guided right-sided double-lumen tube with a conventional right-sided double-lumen tube in adults undergoing elective thoracoscopic surgery requiring one-lung ventilation. The video-guided tube incorporates an integrated camera that provides continuous airway visualisation during initial placement and intraoperative monitoring.\n\nParticipants will be randomly assigned in a 1:1 ratio to receive one of the two tubes. Final tube position after initial placement will be confirmed by fibreoptic bronchoscopy in both groups. During one-lung ventilation, additional fibreoptic bronchoscopy will be performed only when clinically indicated or according to predefined rescue criteria.\n\nThe primary outcome is successful initial right-sided double-lumen tube placement. Secondary outcomes include right upper-lobe bronchial obstruction, intraoperative tube displacement, hypoxemia during one-lung ventilation, requirement for rescue fibreoptic bronchoscopy, time to satisfactory tube positioning, quality of operative lung collapse, and the number of intraoperative tube repositioning events.\n\nParticipants and outcome assessors will remain blinded to treatment allocation, whereas the anaesthesiologist performing intubation cannot be blinded because of the distinct visual and operational characteristics of the two devices. The study aims to determine whether continuous airway visualisation improves the effectiveness and stability of right-sided double-lumen tube management during thoracoscopic surgery.",[27,28,29],"Thoracoscopic Surgery","Double Lumen Tube Intubation","One-Lung Ventilation",[31,32,33,34,35,36],"Video-guided right-sided double-lumen tube","Right-sided double-lumen tube","One-lung ventilation","Fibreoptic bronchoscopy","Thoracoscopic surgery","Lung isolation","RECRUITING","2026-08-13",{"date":40,"type":41},"2026-08-17","ACTUAL",{"date":43,"type":41},"2026-05-30",{"date":45,"type":21},"2027-03-01",{"name":47,"class":48},"Diansan Su","OTHER",3,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":4,"eligibilityCriteria":56,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":57,"targetDuration":4,"studyType":22,"phases":59,"briefSummary":60,"conditions":61,"keywords":65,"overallStatus":72,"whyStopped":4,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":74,"startDateStruct":76,"completionDateStruct":78,"leadSponsor":80,"locationsCount":4},"100638234","hyperangulated-vs-standard-videolaryngoscopy-vs-direct-laryngoscopy-for-double-lumen-endobronchial-tube-intubation-100638234","NCT07614529","Hyperangulated vs Standard Videolaryngoscopy vs Direct Laryngoscopy for Double-Lumen Endobronchial Tube Intubation","Evaluation of Efficacy and Safety of Hyperangulated and Standard Curvature Blade Video Laryngoscopy Versus Direct Laryngoscopy for Double-Lumen Endobronchial Tube Intubation","Inclusion Criteria:\n\n* Age 18 years or older\n* Written informed consent obtained prior to surgery\n* ASA physical status class I, II, or III\n* Scheduled for elective thoracic surgery requiring one-lung ventilation and double-lumen endobronchial intubation\n\nExclusion Criteria:\n\n* Age under 18 years\n* Refusal or inability to provide informed consent\n* ASA physical status class IV or above\n* Emergency surgery\n* Anticipated difficult airway, defined by any of the following: Mallampati score 4, thyromental distance less than 6.5 cm, restricted mouth opening, or BMI greater than 30 kg\u002Fm²\n* History of upper airway surgery\n* Significant upper airway obstruction or stridor\n* Pregnancy",{"count":58,"type":21},180,[24],"This is a prospective, randomized, single-center, three-arm, open-label, low-risk medical device clinical study conducted at the Department of Anesthesiology and Reanimation, Trakya University Medical Faculty.\n\nThe study aims to compare the efficacy, safety, and clinical usability of three laryngoscopy methods for double-lumen endotracheal tube (DLT) intubation in patients undergoing elective thoracic surgery requiring one-lung ventilation: (i) C-MAC hyperangulated (D-blade) videolaryngoscopy, (ii) C-MAC Macintosh blade videolaryngoscopy, and (iii) direct Macintosh laryngoscopy.\n\nThe primary outcome is the total time to successful DLT placement (in seconds), defined as the interval from the end of mask ventilation to fiberoptic bronchoscopic confirmation of correct tube position. Secondary outcomes include glottic visualization quality (POGO score and Cormack-Lehane grade), intubation difficulty (Intubation Difficulty Scale), number of intubation attempts, need for auxiliary maneuvers, intubation-related complications, malposition rate, and postoperative airway symptoms (sore throat, dysphonia) assessed at 1, 6, and 24 hours postoperatively.\n\nEligible patients are adults (≥18 years), ASA class I-III, scheduled for elective thoracic surgery requiring one-lung ventilation. Patients with anticipated difficult airway, emergency surgery, pregnancy, or prior upper airway surgery are excluded. A total of 180 patients will be enrolled and randomized 1:1:1 into three groups (60 per group) using computer-generated block randomization.",[62,28,63,64],"Endobronchial Intubation","Thoracic Surgery","One Lung Ventillation (OLV)",[66,67,68,69,70,71],"double-lumen endotracheal tube","videolaryngoscopy","direct laryngoscopy","C-MAC","thoracic anesthesia","one-lung ventilation","NOT_YET_RECRUITING","2026-05-28",{"date":75,"type":41},"2026-05-29",{"date":77,"type":21},"2026-05-15",{"date":79,"type":21},"2029-01-15",{"name":81,"class":48},"Trakya University",{"id":83,"slug":84,"hasResults":11,"nctId":85,"briefTitle":86,"officialTitle":86,"acronym":4,"eligibilityCriteria":87,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":88,"targetDuration":4,"studyType":90,"phases":4,"briefSummary":91,"conditions":92,"keywords":97,"overallStatus":72,"whyStopped":4,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":107,"completionDateStruct":109,"leadSponsor":111,"locationsCount":114},"100636701","learning-curve-analysis-of-double-lumen-tube-placement-in-anesthesiology-residents-the-impact-of-prior-experience-and-laryngoscope-type-100636701","NCT07569107","Learning Curve Analysis of Double-Lumen Tube Placement in Anesthesiology Residents: The Impact of Prior Experience and Laryngoscope Type","Inclusion Criteria:\n\n* Being an anesthesiology resident at the study institution\n* Voluntary participation\n\nExclusion Criteria:\n\n* Refusal to participate in the study\n* Prior participation in the same simulation scenario",{"count":89,"type":21},33,"OBSERVATIONAL","Placement of a double-lumen tube (DLT) is one of the fundamental techniques for safely achieving one-lung ventilation in thoracic anesthesia. Compared with standard single-lumen endotracheal tubes, DLTs have a larger diameter, greater length, and a more rigid structure. These characteristics make intubation with a DLT considerably more challenging in both normal and difficult airways, potentially increasing the risk of upper airway trauma and postoperative complications, thereby contributing to increased overall morbidity and mortality.\n\nDespite its widespread clinical use, DLT placement remains a technically demanding procedure due to anatomical variability, limited visualization, and operator-dependent performance differences. The reported incidence of DLT malposition in the literature ranges from 32% to 83%. Even in studies reporting lower rates (approximately 32.44%), it is acknowledged that a substantial number of malpositions may go undetected, which can critically impact both patient safety and surgical outcomes. In addition to initial misplacement, repeated repositioning of a malpositioned DLT may itself lead to airway injury. Increased manipulation of the DLT within the bronchial tree may result in excessive trauma.\n\nDLT malposition may predispose patients to inadequate lung isolation, hypoxemia, tracheobronchial injury, and potential complications such as barotrauma or pneumothorax. Operator experience is recognized as a key determinant of success in airway management. Previous studies have demonstrated that technical proficiency in advanced airway interventions improves with cumulative clinical experience. However, most existing research has focused on basic airway devices, and evidence regarding advanced airway techniques such as DLT placement remains limited. Furthermore, the relative contributions of operator experience, airway difficulty, and device technology to procedural success have not been fully elucidated.\n\nTo address the need for easier and safer endotracheal intubation, various types of video laryngoscopes have been developed as alternatives to direct laryngoscopy. Nevertheless, it remains unclear whether video-assisted airway management reduces DLT malposition rates across different levels of operator experience.\n\nSimulation-based training has become increasingly important in modern anesthesiology education, providing a safe and standardized environment for the assessment of airway management skills. Accordingly, there is a need for simulation-based studies evaluating learning curves and technical performance in DLT placement.\n\nThe primary aim of this study is to evaluate the effects of overall clinical experience and prior DLT placement experience on malposition rates during DLT insertion procedures performed in a simulation setting among anesthesiology residents. Secondary objectives include comparing the performance of video laryngoscopy and Macintosh laryngoscopy, as well as analyzing learning curves across repeated attempts. Additionally, the interaction between experience level, type of laryngoscope used, and airway difficulty will be investigated.\n\nStudy Design and Population This study will be conducted in accordance with the Declaration of Helsinki and will be carried out at Ankara Atatürk Sanatorium Training and Research Hospital after obtaining approval from the institutional ethics committee.\n\nThe study is designed as a prospective, observer-blinded, simulation-based study with repeated measures. It aims to evaluate DLT placement performance using standardized airway simulation models.\n\nAll anesthesiology residents working in the Department of Anesthesiology and Reanimation at Ankara Atatürk Sanatorium Training and Research Hospital will be invited to participate on a voluntary basis (total of 33 participants). Written informed consent will be obtained from all participants.\n\nAnesthesiology residents with varying levels of experience will be included voluntarily. Participants will be stratified based on years of residency training and the number of prior DLT placements performed.\n\nAirway simulation will be conducted using high-fidelity airway manikins equipped with bronchial anatomy modules. Intubation will be performed using a 37 Fr DLT. Simulation platforms with fiberoptic verification capability will be utilized. Prior to data collection, participants will receive standardized training on DLT placement.",[93,28,94,95,96],"Learning Curves and Outcomes of Simulation-based Training","Anesthesiology Residency Training","Experience","Laryngoscopes",[98,99,100,101,102,103],"Learning curves","simulation -based training","double lumen tube","experience","laryngoscopes","anesthesiology residents","2026-05-11",{"date":106,"type":41},"2026-05-13",{"date":108,"type":21},"2026-05-10",{"date":110,"type":21},"2026-08-10",{"name":112,"class":113},"Ankara Ataturk Sanatorium Training and Research Hospital","OTHER_GOV",1,{"id":116,"slug":117,"hasResults":11,"nctId":118,"briefTitle":119,"officialTitle":120,"acronym":121,"eligibilityCriteria":122,"healthyVolunteers":123,"sex":17,"minAge":18,"maxAge":124,"enrollmentInfo":125,"targetDuration":4,"studyType":22,"phases":127,"briefSummary":128,"conditions":129,"keywords":4,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":132,"lastUpdatePostDateStruct":133,"startDateStruct":135,"completionDateStruct":137,"leadSponsor":139,"locationsCount":114},"100574419","c-mac-blade-d-video-vs-macintosh-laryngoscope-for-double-lumen-tube-insertion-100574419","NCT06759038","C-MAC Blade D Video Vs Macintosh Laryngoscope for Double Lumen Tube Insertion","Comparison Between C-MAC Blade D Video Laryngoscope and Macintosh Laryngoscope for Double Lumen Tube Insertion in Patients Undergoing Elective Thoracic Surgeries","DLT","Inclusion Criteria:\n\n* Mallampati 1 and 2.\n* ASA 1 and 2.\n* Patients who will be prepared for elective thoracic surgeries under general anesthesia.\n\nExclusion Criteria:\n\n* Pregnant Patients.\n* Patients with anticipated difficult airway.\n* Patients with limited neck extension.\n* Thyromental distance less than 6.5cm.\n* BMI greater than 35. (Weight in kilogram (kg) divided by height in meters squared)\n* Patients at a risk of aspiration.\n* Failure to intubate the patient after 3 attempts.",true,"60 Years",{"count":126,"type":21},60,[24],"The goal of this clinical trial is to know which type of laryngoscope is better for Double Lumen Tube (DLT) insertion, in participants undergoing elective thoracic surgeries.\n\nThe main question aim to answer is Is C-MAC blade D video laryngoscope better than Macintosh laryngoscope for DLT insertion in term of time taking for intubation and hemodynamic changes to laryngoscopy? Researchers are comparing two groups of participants\n\n* Participants in Group A are receiving intubation from C-MAC blade D video laryngoscope.\n* Participants in Group B are receiving intubations from Macintosh laryngoscope.",[130,28,131],"Video Laryngoscope","Elective Thoracic Surgery","2024-12-27",{"date":134,"type":41},"2025-01-06",{"date":136,"type":41},"2024-12-03",{"date":138,"type":21},"2025-03",{"name":140,"class":48},"Shaheed Mohtarma Benazir Bhutto Institue of Trauma"]