纤维支气管镜联合Glidescope视频喉镜用于经鼻气管插管的观察

目的:评价纤维支气管镜(FOB)联合Glidescope视频喉镜用于前路颈椎手术患者经鼻气管插管的效果。方法:择期颈椎手术的患者42例,ASA分级Ⅰ级或Ⅱ级,采用随机数字表法,将患者分为2组(n=21):纤维支气管镜联合Glidescope视频喉镜组(A组)和单纯纤维支气管镜引导组(B组),麻醉慢诱导后,行经鼻清醒气管插管。记录气管插管时间、气管插管成功情况;记录气管插管期间低氧血症的发生情况及术后不良反应的发生等。结果:与FOB组比较,A组气管插管时间缩短,一次插管成功率明显升高(P<0.05)。两组气管插管期间均未见低氧血症发生、插管前后血流动力学变化无差异(P>0.05)。结论:纤维支气管镜(FOB)联合Glidescope视频喉镜引导经鼻气管插管时可减少插管时间,提高首次插管成功概率。

Combined fiberoptic bronchoscope with glidescope videolaryngoscopy guided nasotracheal in-tubation in patients undergoing anterior cervical surgery

Objective： To evaluate the efficacy of combined use of fiberoptic Bronchoscope（FOB） with the glidescope videolaryngoscopy guided nasotra-cheal intubation in patients undergoing anterior cervical surgery.Methods： By the table of random digit, 42 patients（ASA Ⅰ-Ⅱ） undergone selective anterior cervical surgery were equally allocated to combined FOB with the glidescope videolaryngoscopy group（group A）and simple FOB group（group B）. Awake endotracheal intubation was performed for the two groups of patients after slow induction , and the information was maintained regarding teh intuba-tion time, successful performance, and incidences of hypoxemia in intubation and postoperative advsere events in the two groups .Results： Group A re-quired shorter time for intubation and had a hihger successful intubation at one time compared with group B （ P〈0 .05 ） , and yet no significant incidence of hyoxemia in intubation and hemodynamic variation occurred before and after intubation in the two groups（P〉0.05）.Conclusion： Combined use of FOB with the glidescope videolaryngoscopy may reduce the tracheal intubation time and imporve the successful performance for patients undergoing anterior cervical surgery.