Effects of bronchial blockers and double-lumen tubes on recovery quality in patients undergoing lobectomy: A randomized controlled trial

: In clinical practice, bronchial blockers and double-lumen tubes are commonly used airway management tools for thoracic surgery. Although several studies have compared bronchialblockers and double-lumen tubes in patients undergoing thoracic surgery, their conclusions varied widely. This study aims to compare the effects of bronchial blockers and double-lumen tubeson recovery quality in patients undergoing lobectomy. : Sixty adult patients undergoinglobectomy at the Yichang Central People's Hospital from January 2025 to June 2025 were selected and randomly divided into two groups: the observation group (Group B) and the control group (Group D), with 30 patients in each group. During the operation, Group B received one-lung ventilation using bronchial blockers, while Group D received one-lung ventilation using double-lumen tubes. The first intubation success rate, intubation positioning time, and lung collapse quality were compared between the two groups. Additionally, the operation time, anesthesia time, awakening time, and recovery time of the two groups were recorded. Complications (sore throat, hoarseness, airway injury) and the Steward anesthetic recovery score were compared upon leaving the recovery room. Hospitalization time and costs were compared between the two groups. : There were no statistically significant differences between the two groups in general condition, operation time, and anesthesia time ( P > 0.05). The first intubation success rate and lung collapse quality were not significantly different between the two groups ( P > 0.05); The intubation positioning time was significantly shorter in Group B than in Group D (116.8±6.06s vs 185.93±6.97s, P < 0.001). The incidence of postoperative complications (sore throat, hoarseness, airway injury) in Group B was lower than in Group D (16.77% vs 46.77%, P < 0.05). The awakening time and recovery time were shorter in Group B compared with Group D (24.87±2.56min vs 33±3.01min, P < 0.05),(55.67±3.36min vs 67.9±4.49min, P < 0.05). The Steward score upon leaving the recovery room was higher in Group B than in Group D (5.43±0.11 vs 4.9±0.12, P < 0.05). The hospitalization time was shorter in Group B than in Group D(10.7±0.70days vs 15.37±1.21days, P < 0.05) and the hospitalization costs of patients inGroup B were less than those in group D(4018.39±1389.76dollars vs 5557.34±2110.65dollars, P < 0.05). : Compared to double-lumen tubes, bronchial blockers effectively reduce intubation complications, enhance the quality of postoperative recovery, and reduce the hospitalization costs of patients.