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Airtraq可视喉镜:新手喉镜操作者进行气管插管

Airtraq optical laryngoscope: tracheal intubation by novice laryngoscopists.

作者信息

Hirabayashi Y, Seo N

机构信息

Department of Anesthesiology and Critical Care Medicine, Jichi Medical University, Tochigi, Japan.

出版信息

Emerg Med J. 2009 Feb;26(2):112-3. doi: 10.1136/emj.2008.059659.

Abstract

OBJECTIVE

To evaluate the performance of the Airtraq optical laryngoscope for tracheal intubation by novice laryngoscopists, compared with that of the Macintosh laryngoscope.

METHODS

Under supervision by staff anaesthetists, non-anaesthesia physicians performed tracheal intubation using either the Airtraq optical laryngoscope (n = 100) or the Macintosh laryngoscope (n = 100). The time required for airway instrumentation, the number of attempts until successful intubation and erroneous oesophageal intubation were investigated.

RESULTS

The time to secure the airway was shorter with the Airtraq optical laryngoscope than with the Macintosh laryngoscope (p<0.001). The number of attempts until successful intubation was smaller with the Airtraq optical laryngoscope than with the Macintosh laryngoscope (p<0.001). Erroneous oesophageal intubation was less with the Airtraq optical laryngoscope than with the Macintosh laryngoscope (p<0.01).

CONCLUSION

The Airtraq optical laryngoscope reduces the time to secure the airway and the incidence of failed tracheal intubation by novice laryngoscopists.

摘要

目的

与麦金托什喉镜相比,评估新手喉镜检查者使用Airtraq光学喉镜进行气管插管的性能。

方法

在麻醉科工作人员的监督下,非麻醉科医生使用Airtraq光学喉镜(n = 100)或麦金托什喉镜(n = 100)进行气管插管。研究了气道器械操作所需时间、成功插管前的尝试次数以及错误的食管插管情况。

结果

Airtraq光学喉镜确保气道安全的时间比麦金托什喉镜短(p<0.001)。Airtraq光学喉镜成功插管前的尝试次数比麦金托什喉镜少(p<0.001)。Airtraq光学喉镜错误的食管插管情况比麦金托什喉镜少(p<0.01)。

结论

Airtraq光学喉镜缩短了新手喉镜检查者确保气道安全的时间以及气管插管失败的发生率。

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