直接喉镜检查与提颌法辅助纤维喉镜插管的比较。

A comparison of direct laryngoscopy and jaw thrust to aid fibreoptic intubation.

作者信息

Stacey M R, Rassam S, Sivasankar R, Hall J E, Latto I P

机构信息

Department of Anaesthetics and Intensive Care Medicine, University Hospital of Wales, Cardiff, CF14 4XW, UK.

出版信息

Anaesthesia. 2005 May;60(5):445-8. doi: 10.1111/j.1365-2044.2004.04119.x.

DOI:10.1111/j.1365-2044.2004.04119.x

PMID:15819763

Abstract

We compared two manoeuvres, jaw thrust and laryngoscopy, to open the airway during fibreoptic intubation in 50 patients after induction of anaesthesia in a crossover study. Patients were randomly allocated to receive either jaw thrust or conventional Macintosh laryngoscopy first. Airway clearance was assessed at both the soft palate and the epiglottis. Direct laryngoscopy provided significantly better airway clearance at the level of the soft palate than jaw thrust (44 (88%) vs 31 (62%), respectively; p = 0.002). At the level of the larynx, airway clearance was equally good in both groups (45 (90%) vs 46 (92%), respectively; p = 0.56). The times to view the larynx (median (interquartile range [range]) 4 (3-5 [2-35]) s vs 3 (3-4 [2-8]) s, respectively) and intubation time (20 (17-23 [11-83]) s vs 18 (15-20 [11-28]) s, respectively) were also similar.

摘要

在一项交叉研究中，我们比较了在50例麻醉诱导后的患者行纤维支气管镜引导插管时的两种操作——托下颌和喉镜检查，以开放气道。患者被随机分配，先接受托下颌或传统的麦氏喉镜检查。在软腭和会厌处评估气道通畅情况。直接喉镜检查在软腭水平提供的气道通畅情况明显优于托下颌（分别为44例（88%）对31例（62%）；p=0.002）。在喉水平，两组的气道通畅情况相同（分别为45例（90%）对46例（92%）；p=0.56）。观察喉部的时间（中位数（四分位间距[范围]）分别为4（3 - 5[2 - 35]）秒对3（3 - 4[2 - 8]）秒）和插管时间（分别为20（17 - 23[11 - 83]）秒对18（15 - 20[11 - 28]）秒）也相似。