Neonatal laryngoscope intubation and the digital method: a randomized controlled trial

We compared digital intubation (DI) and laryngoscope intubation (LI) in newborns. The success rate was 90.5% for DI and 50% for LI (P = .004). It took 8.2 seconds to complete the DI and 13.1 seconds to complete the LI (P = .007). DI should be considered to be an option for neonatal intubation.     

HC可视喉镜在儿童会厌囊肿手术麻醉中的应用

目的评价HC可视喉镜在儿童会厌囊肿手术气管插管中的临床价值与安全性。方法选取60例行会厌囊肿手术的儿童,ASAⅡ~III级,采用随机数字表分为两组。HC可视喉镜组(S组)和直接喉镜组(D组),每组30例,由同一名麻醉医师完成插管。记录两组气管插管时间、插管成功率和一次成功率,插管前、插管时和插管后2 min的心率(HR)、收缩压(SBP)、舒张压(DBP)和平均动脉压(MAP);喉镜下Cormark-Lehane评级。术毕检查口腔内有无损伤、出血或水肿。结果与D组相比,S组Cormark-Lehane分级中Ⅰ和Ⅱ级的例数显著增多(P0.05),插管时间明显缩短(P0.05)。两组插管前和插管后2 mm,患儿HR和MAP差异无统计学意义(P0.05);插管时D组的HR和MAP明显高于S组(P0.05)。结论在儿童会厌囊肿手术中,HC可视喉镜插管成功率高,插管反应轻,插管时间缩短,安全性好。