中国现代手术学杂志2013，Vol.17Issue(4)：306-309,4.
Berman airway在经口纤维支气管镜气管插管中的临床应用
The Application of Berman Airway in the Fiberoptic Bronchoscope Guided Oral Endotracheal Intubation
慕晶晶 1敖杰 2叶庆明 2李朝阳2
作者信息
- 1. 香港大学深圳医院麻醉科,深圳818052
- 2. 深圳市第六人民医院(南山医院)麻醉科,深圳818052
- 折叠
摘要
Abstract
Objective To investigate the efficacy and safety of Berman airway application in the oral endotracheal intubation guided by fiberoptic bronchoscope.Methods A total of 60 patients with ASA Ⅰ to Ⅱ,aged from 25 to 55 years,were scheduled to gynecology laparoscopic operation under general anesthesia were enrolled and randomly divided into two groups,with 30 cases for each:group A was performed oral tracheal intubation assisted by Berman airway,and group B was performed oral tracheal intubation with elevation of the jaw.Hemodynamics parameter as systolic pressure (SBP) and heart rate (HR) were recorded before anesthesia(T0),after anesthesia induction(T1),immediate time point of catheterization(T2),and at the time point of 1 (T3) and 3 minutes (T4) after tracheal intubation.While timne of glottis exposure,tube delivery and catheterization time,intubation success rate and incidence of complications were compared.Results The time of glottis exposure,tube delivery and intubation were significantly shorter in group A than those in group B(P ＜0.05).There was no statistic difference in SPB and HR of group A among the different time points (P ＞ 0.05),but there was obvious difference in SPB and HR between the time point of T2 and T1 of group B (P ＜ 0.05).Compared with group A,the SPB and HR of T2 was higher in group B (P ＜ 0.05),but not statistic difference in other time points(P ＞0.05).The post-operative pharyngalgia rate was 6.7％ in group A,and was less than 26.7％ in group B (P ＜ 0.05).Conclusion Application of Berman airway in oral tracheal catheterization under fiberoptic bronchoscope can shorten the time of glottis exposure and intubation,make the tube deliver easier and hemodynamics more stable.关键词
贝曼导气管/纤维支气管镜/导管插入术Key words
Berman airway/ fiberoptic bronchoscope/ catheterization分类
医药卫生引用本文复制引用
慕晶晶,敖杰,叶庆明,李朝阳..Berman airway在经口纤维支气管镜气管插管中的临床应用[J].中国现代手术学杂志,2013,17(4):306-309,4.
