Video double-lumen endotracheal tube reduces hypoxemia during one-lung ventilation in thoracoscopic surgery…

Randomized trialJournal of thoracic disease· May 2026

Video double-lumen endotracheal tube reduces hypoxemia during one-lung ventilation in thoracoscopic surgery: a prospective randomized controlled trial.

Si Long, Yuhang Li, Xiaoyang Zheng … Rong Hu

Cardiac & Thoracic AnesthesiaRandomized trialClinical practiceQ2IF 2.1

Video double-lumen tube cuts hypoxemia incidence during one-lung ventilation versus conventional tube

Video double-lumen endotracheal tube reduces hypoxemia during one-lung ventilation in thoracoscopic surgery: a prospective randomized controlled trial.

Si Long … Rong Hu

Journal of thoracic disease · May 2026

Background

Compared to the conventional double-lumen endotracheal tube (c-DLT), the video double-lumen endotracheal tube (v-DLT) demonstrates a shorter intubation time and the capability of observing and adjusting malposition at any time.

Methods

This single-center, prospective, randomized controlled trial enrolled 100 patients undergoing video-assisted thoracic surgery (video-assisted thoracic surgery), who were randomized to receive either a v-DLT or a c-DLT.

n = 100 patients

Results

hypoxemia was far less common with the video tube than the conventional one

v-DLT

6.3%

c-DLT

27.7%

More results

13/47 (27.7%), P=0.006].

Anesthesiologists reported higher satisfaction, reduced workload, and shorter intubation time with v-DLT (all P<0.001).

There were no significant differences in postoperative complications between the two groups.

“

Conclusion · 1 of 2

The use of v-DLT significantly reduces the incidence of hypoxemia during one-lung ventilation, decreases the need for rescue interventions and fiberoptic bronchoscopy.

Conclusion · 2 of 2

Simultaneously, it improves procedural efficiency and enhances anesthesiologist satisfaction.

Video double-lumen endotracheal tube reduces hypoxemia during one-lung ventilation in thoracoscopic surgery: a prospective randomized controlled trial.

Video double-lumen endotracheal tube reduces hypoxemia during one-lung ventilation in thoracoscopic surgery: a prospective randomized controlled trial.

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