Gaszyński Tomasz, Gaszyński Wojciech
Katedra Anestezjologii i Intensywnej Terapii UM w Łodzi.
Anestezjol Intens Ter. 2009 Jul-Sep;41(3):145-8.
Endotracheal intubation in morbidly obese patients is usually difficult and may lead to traumatic complications.
We compared the median time needed for endotracheal intubation, between a newly introduced device, the AirTraq optical laryngoscope, and a standard device, the Macintosh blade. The study group comprised adult patients scheduled for elective abdominal surgery, with a BMI >39.
Sixty-eight patients were enrolled in the study. The time to successful insertion of an endotracheal tube was 29 and 49 sec in the AirTraq and the Macintosh groups, respectively. In the AirTraq group, additional manoeuvres were required to improve the laryngeal view in 7 cases. In the Macintosh group, an elastic guidewire was used to facilitate endotracheal intubation. No traumatic complications were observed in either group.
The optical AirTraq laryngoscope proved to be more useful than the Macintosh blade for faster and easier intubation in morbidly obese patients.
病态肥胖患者的气管插管通常很困难，且可能导致创伤性并发症。
我们比较了一种新引入的设备——AirTraq光学喉镜与标准设备——麦金托什喉镜在气管插管所需的中位时间。研究组包括计划进行择期腹部手术、BMI>39的成年患者。
68例患者纳入研究。AirTraq组和麦金托什组成功插入气管导管的时间分别为29秒和49秒。在AirTraq组中，7例患者需要额外操作以改善喉镜视野。在麦金托什组中，使用弹性导丝辅助气管插管。两组均未观察到创伤性并发症。
对于病态肥胖患者，光学AirTraq喉镜在更快、更轻松插管方面比麦金托什喉镜更有用。
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