新医学Issue(9)：612-615,4.DOI:10.3969/g.issn.0253-9802.2015.09.011
McGrath-5型视频喉镜与直接喉镜用于双腔支气管插管的比较
Comparison of double-lumen tube intubation effect between McGrath-5 video-laryngoscope and direct ;laryngoscope
沈荣荣 1杨鑫 1李樱青 1王浩杰1
作者信息
- 1. 315400 余姚，浙江余姚市人民医院麻醉科
- 折叠
摘要
Abstract
Objective To compare the clinical efficacy of double-lumen tube intubation between McGrath-5 video-laryngoscope and Macintosh laryngoscope.Methods Eighty patients scheduled for elective thoracic surgery under general anesthesia were divided into two groups using random number table method:McGrath-5 video-laryngoscope (group A,n =40)and Macintosh laryngoscope groups (group B,n =40).All patients were intubated by two laryngoscopes correspondingly after conventional induction.The success rate of the first intubation,total intubation time,grading of glottic exposure,the incidence of intubation complications and hemodynamic parameters (The changes in systolic and diastolic pressure and heart rate)were recorded be-fore induction (T0 ),2 min after induction (T1 ),glottic exposure upon laryngoscope insertion (T2 ),immedi-ately after intubation (T3 ),1 min (T4 )and 3 min (T5 )after intubation.Results The success rate of the first intubation and the satisfaction rate of glottic exposure in group A were significantly higher than those in group B (both P <0.05).Furthermore,the total intubation time in group A was significantly shorter than that in group B (P <0.05).The systolic and diastolic pressure and heart rate at T1 ,T4 and T5 were dramatically reduced compared with those measured at T0 in both groups (all P <0.05).The systolic and diastolic pressure and heart rate at T2 in group A were considerably lower than those in group B (all P <0.05).Conclusions Compared with the Macintosh laryngoscope,double-lumen tube intubation by McGrath-5 video-laryngoscope can significantly improve glottic exposure,enhance the success rate of the first intubation and shorten the total intu-bation time,which deserves widespread application in clinical practice.关键词
McGrath-5 视频喉镜/双腔导管/插管法/气管内Key words
McGrath-5 video-laryngoscope/Double-lumen tube/Intubation/Intratracheal引用本文复制引用
沈荣荣,杨鑫,李樱青,王浩杰..McGrath-5型视频喉镜与直接喉镜用于双腔支气管插管的比较[J].新医学,2015,(9):612-615,4.
