中国医学科学院学报2016，Vol.38Issue(6)：637-642,6.DOI:10.3881/j.issn.1000-503X.2016.06.003
Air-Q和Ambu Aura-i插管型喉罩联合纤维支气管镜用于耳畸形儿童气管插管的比较
Comparison of the Ambu Aura-i with the Air-Q Intubating Laryngeal Airway as A Conduit for Fiberoptic-guided Tracheal Intubation in Children with Ear Deformity
摘要
Abstract
Objective To compare the Ambu Aura-i with the Air-Q intubating laryngeal airway for fi-beroptic-guided tracheal intubation in ear deformity children. Methods Totally 120 children who were scheduled for elective auricular reconstruction surgery requiring general anaesthesia with tracheal intubation were enrolled in this prospective study. They were randomized to receive either the Ambu Aura-i ( Aura-i group) or Air-Q ( Air-Q <br> group) . The time for successful tracheal intubation was assessed. The attempts for successful device insertion, leak pressures, cuff pressures, fiberoptic grade of laryngeal view, time for removal of the device after endotracheal intubation, and complications were recorded. Results Device placement, endotracheal intubation, and removal after endotracheal intubation were successful in all patients. The Air-Q group required longer time than the Aura-i group in device placement [ (14. 1±7. 2) s vs. (10. 8±5. 2) s, P<0. 05], successful endotracheal intubation [ (39. 8±9. 5) s vs. (24. 1±8. 2) s, P<0. 05], and device removal [ (18. 2±5. 1) s vs. (14. 7±3. 7) s, P<0. 05] . There were no differences in fiberoptic grade of view between these devices, and the percentage of glot-tis seen was 80. 0% (Air-Q group) vs. 86. 7% (Aura-i group) . The leak pressure was (20. 5±4. 8) cmH2O in the Air-Q group and ( 22. 2 ± 5. 0 ) cmH2 O in the Aura-i group ( P<0. 05 ) , and the cuff pressure was ( 22. 9 ± 11. 5) cmH2O in the Air-Q group and (33. 9±15. 9) cmH2O in the Aura-i group (P<0. 05) . Hemodynamic changes were not significantly different between two group. The incidence rate of sore throat two hours after opera-tion was 6. 5% ( n=4 ) in the Air-Q group and 5% ( n=3 ) in the Aura-i group. Conclusion Both Ambu Aura-i and Air-Q intubating laryngeal airway are effective conduits for fiberoptic-guided tracheal intubation, with ad-vantages including simple operation, high success rate, and fewer complications, especially the Ambu Aura-i.关键词
气管插管型喉罩通气道/Air-Q/Ambu Aura-i/纤维支气管镜引导插管/耳畸形儿童Key words
intubating laryngeal airway/Air-Q/Ambu Aura-i/fiberoptic intubation/ear deformity children分类
医药卫生引用本文复制引用
郅娟,邓晓明,杨冬,温超,徐文莉,王磊,徐瑾..Air-Q和Ambu Aura-i插管型喉罩联合纤维支气管镜用于耳畸形儿童气管插管的比较[J].中国医学科学院学报,2016,38(6):637-642,6.基金项目
北京协和医学院青年科研基金(3332013094) Supported by the Peking Union Medical College Youth Scientific Research Funds (3332013094) （3332013094）
