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咬嘴辅助下单人操作明视插管软镜经口气管插管的临床应用

卢增停 涂泽华 胡浩翔 叶茜琳 张康聪 王立勋

中国内镜杂志2016,Vol.22Issue(6):9-12,4.
中国内镜杂志2016,Vol.22Issue(6):9-12,4.DOI:10.3969/j.issn.1007-1989.2016.06.003

咬嘴辅助下单人操作明视插管软镜经口气管插管的临床应用

Single operation video intubationscope assisted by mouthpiece in orotracheal intubation

卢增停 1涂泽华 1胡浩翔 1叶茜琳 1张康聪 1王立勋1

作者信息

  • 1. 南方医科大学附属小榄医院 麻醉科,广东 中山 528415
  • 折叠

摘要

Abstract

Objective To evaluate the effect of single operation video intubationscope assisted by disposable mouthpiece in orotracheal intubation. Methods 100 patients undergoing general anesthesia were randomly divided into two groups with 50 cases in each: mouthpiece group (group M): single operation video intubationscope assisted by disposable mouthpiece in orotracheal intubation was performed; control group (group C): Video intubationscope oral intubation assisted by helper were applied. The BP, MAP, HR and SpO2 in the two groups were recorded during intubation. The success rate of intubation, duration of glottis exposure, duration of intubation and complications were recorded. Results Oral-tracheal intubation with video intubationscope were successfully completed for all 100 pa-tients, SpO2 during intubation in two groups was maintained above 95.0%, there was no significant hemodynamic changes in two groups. There were no significant difference in the one-time success rate of intubation, duration of glottis exposure and duration of intubation between group M and group C [92.0%vs 88.0%, (13.0 ±7.0) vs (14.0 ±8.0), (20.0 ± 10.0) vs (21.0 ± 11.0), > 0.05]. No significant complications were reported. Conclusion Compared with video intubationscope oral intubation assisted by helper, single operation video intubationscope assisted by dis-posable mouthpiece in orotracheal intubation also is feasible and effective without needing assistant, it is a simple and convenient technology worthy of application.

关键词

纤维光学/插管法/气管内/明视插管/咬嘴

Key words

fiber optics/intubation/intratracheal/video intubationscope/mouthpiece

分类

医药卫生

引用本文复制引用

卢增停,涂泽华,胡浩翔,叶茜琳,张康聪,王立勋..咬嘴辅助下单人操作明视插管软镜经口气管插管的临床应用[J].中国内镜杂志,2016,22(6):9-12,4.

中国内镜杂志

OA北大核心CSTPCD

1007-1989

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