GlideScope视频喉镜在评估困难气道中的应用

目的应用GlideScope视频喉镜对术前预计为困难气道的患者进行评估,探讨其应用价值。方法 30例术前评估为困难气道的患者,先在半清醒状态下分别应用Macintosh直接喉镜和GlideScope视频喉镜进行气道评估,记录喉部显露分级和暴露声门即刻血流动力学指标。若Cormack and Lehane分级评估在Ⅱ级以下,即在快诱导下行气管插管;Ⅱ级以上,则按照ASA困难气道处理方案执行。结果 GlideScope视频喉镜可显著降低Cormackand Lehane分级,与Macintosh直接喉镜相比其显露声门时所致的血流动力学波动更小。结论应用Glide Scope视频喉镜能够更直观精准的对困难气道进行评估,有利于选择适当的麻醉诱导方法,增加此类患者在插管时的安全系数、舒适度及避免不必要的血流动力学波动。

Application of evaluating the difficult airway with GlideScope videolaryngoscope

Objective To evaluate the patients who had difficult airway with GlideScope videolaryngoscope in perioperation and to observe its application value.Methods Thirty patients who were predicted difficult airway before operation evaluated the airway with the Macintosh direct laryngoscope and GlideScope videolaryngoscope in semiconsciousness,and recorded the Cormack grade and the changes of hemodynamics when the glottis was exposed by the two separated laryngoscope.If Cormack and Lehane grade was within 2 grade ...