帝视内窥镜引导全麻患者经口气管插管的可行性

目的对比帝视内窥镜和视可尼气管插管的有效性和安全性,评价帝视内窥镜引导全身麻醉(以下简称全麻)患者经口气管插管的可行性。方法拟气管插管全身麻醉患者60例,分为帝视内窥镜组(D组)和视可尼组(S组)各30例,分别采用帝视内窥镜和视可尼引导气管插管,观察并记录插管时间、插管次数、血流动力学变化以及合并症。结果 D组30例患者中有29例气管插管成功,其中1次成功者27例(90%),2次成功者2例(7%),失败者1例(3%),总体成功率97%,插管时间为(34.0±21.7)s;S组30例患者均气管插管成功,其中1次成功者28例(93%),2次成功者2例(7%),总体成功率100%,插管时间(44.8±33.1)s。2组插管前后血流动力学无显著变化。2组插管咽痛、声嘶等合并症发生率均较低。结论全麻患者使用帝视内窥镜气管插管成功率高、血流动力学影响小、合并症少,是临床可用的一种气管插管方法。

Feasibility of disposcope guided orotracheal intubation

Objective To compare the effectiveness of disposcope and shikani guided tracheal intubation, and evaluate the feasibility of disposcope guided tracheal intubation under general anesthesia. Methods Totally sixty patients under general anesthesia were enrolled in this prospective study. The patients were randomly allocated to Group D(disposcope) or Group S(shikani). After anesthesia induction, tracheal intubation were performed under the guidance from disposcope or shikani. The number and duration and success rate of tracheal intubation were recorded. Noninvasive blood pressure and heart rate were recorded during tracheal intubation. Adverse events were recorded 24 hours after tracheal intubation. Results The rate of successful tracheal intubation with disposcope was 97% and comparable with shikani(100%). The number of attempts and the time to succeed were not significantly different between groups. During the observation, there were no significant differences in blood pressure and heart rate among each time point and in the maximum values between the two groups. The incidence and severity of sore throat and hoarseness were similar between the two groups. Conclusion Disposcope guided orotracheal intubation is safe and effective in patients under general anesthesia.