摘要
Abstract
Objective To explore the clinical value of using visual laryngoscope combined with fiberoptic bronchoscope(FOB)to perform dual lumen bronchial intubation(DLT)in thoracic surgery anesthesia.Methods A total of 76 patients with thoracic surgery were randomly divided into control group(38 cases)and observation group(38 cases).The control group was treated with traditional DLT,while the observation group was treated with visual laryngoscope and FOB assisted DLT.Hemodynamic indexes,intubation positioning time,glottic exposure time,one-time intubation success rate and complications such as laryngeal edema,oral injury,vocal cord injury and gum injury were compared between the two groups.Results Before intubation,the hemodynamic levels of the two groups were compared(P>0.05).Immediately after intubation and 3 minutes after intubation,the heart rate,systolic blood pressure and diastolic blood pressure of observation group were lower than those of control group(P<0.05).Compared with the control group,the intubation positioning time and glottic exposure time in the observation group were significantly shorter,the success rate of one-time intubation was higher,and the incidence of intubation complications was significantly lower(P<0.05).Conclusion In the anesthesia of thoracic surgery,DLT assisted by visual laryngoscope combined with FOB has a good effect,which can greatly improve the success rate of one-time intubation,significantly shorten the time of intubation,and reduce the incidence of complications of intubation,which can be clinically popularized.关键词
可视喉镜/纤维支气管镜/双腔支气管插管/胸外科手术/麻醉Key words
visual laryngoscope/Fiberbronchoscope/Double lumen bronchial cannula/Thoracic surgery/narcotize分类
医药卫生
