Overview
This is a prospective, randomized, single-blinded controlled trial designed to compare CT-guided versus conventional methods for selecting double-lumen tube (DLT) size in patients undergoing thoracic surgery requiring one-lung ventilation
Description
This is a prospective, randomized, single-blinded controlled trial designed to compare CT-guided versus conventional methods for selecting double-lumen tube (DLT) size in patients undergoing thoracic surgery requiring one-lung ventilation. The study aims to evaluate whether preoperative computed tomography (CT)-based bronchial diameter measurement improves the accuracy of initial DLT size selection compared with conventional selection based on demographic parameters.
Eligible patients will be randomly assigned in a 1:1 ratio to either the CT-guided group or the conventional group.
Eligibility
Inclusion Criteria:
- Adult patients (≥18 years) scheduled for elective thoracic surgery requiring one-lung ventilation.
- Availability of preoperative thoracic CT imaging.
- Procedures requiring placement of a left-sided DLT.
- Patient who has a normal pulmonary function test.
Exclusion Criteria:
- Previous tracheal surgery
- Patient with difficult airway whom need bronchial blocker.
- Emergency thoracic procedures.
- Incomplete intraoperative or imaging data.
- Patient with severe obstruction or restriction.
- Pediatric patient
