Double-lumen tubes verus single-lumen tube in patients undergoing minimally invasive cardiac surgery: a randomised, controlled clinical trial.

ABSTRACT:

Background

One-lung ventilation (OLV) with double-lumen tubes (DLT) are prone to complications such as airway injury and hypoxemia. It is not clear whether a two-lung ventilation (TLV) with single-lumen tube (SLT) is beneficial for patients undergoing totally endoscopic cardiac valve surgery (TECVS).

Methods

We conducted a pragmatic, single-centre, single-blinded randomised controlled trial. Patients (aged ≥18 years) who underwent total endoscopic cardiac valve surgery were randomly assigned to a DLT group or a SLT group. A two-week telephone follow-up was conducted. The oxygenation index (PaO₂/FiO₂) was the primary outcome. The secondary outcomes included PaCO₂, postoperative intubation complications, postoperative pulmonary complications an

SUBMITTER: Wang Z 

PROVIDER: S-EPMC12328442 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature