OBJECTIVES: Conventional double-lumen tubes (cDLT) are commonly used in one-lung ventilation (OLV) procedures and require the use of a flexible bronchoscope (FB) to confirm correct positioning in the patient. The VivaSight-DL (VS) is a disposable, camera-integrated double-lumen tube and does not always require a FB for confirmation. By reducing the need for FB use, valuable procedure time may be saved when needing to correct and confirm placement of the double-lumen tube. The purpose of this study is to review and summarize the latest evidence of the procedural differences of the VS compared to cDLT.

METHODS: PubMed database was searched for publications using the specific search terms “(vivasight) AND (double lumen)”. A date range of January 1, 2018 to June 19, 2023 was used. Title and abstract screenings were performed on the returned publications, and the remaining articles were further reviewed for relevance.

RESULTS: The PubMed search returned 10 articles; all of which were reviewed in full following title and abstract screens. Following full review, 5 articles were excluded based on relevance. The average time to intubation and use of FB were calculated.

OLV procedures utilizing VS observed an 81% decrease in FB use compared to cDLT (13.1% v 69.1%). Additionally, the average time to successful intubation was 46% faster when utilizing VS (59.8s v 111.5s).

CONCLUSIONS: Continuous visualization offered by VS significantly reduces the time to intubation and need for FB use and may allow for early detection of dislodgment during patient repositioning and assist physicians in maintaining intubation throughout the procedure.