Han Xiao-dong, Lin Zhen
Department of Anesthesiology, Dingli Clinical School of Wenzhou Medical College, Wenzhou, China.
Zhejiang Da Xue Xue Bao Yi Xue Ban. 2010 Jan;39(1):89-92. doi: 10.3785/j.issn.1008-9292.2010.01.015.
To compare the modified and conventional methods in orotracheal intubation of GlideScope videolaryngoscope.
Sixty patients aged 21-53 years with ASA physical status I-II were scheduled for elective abdominal operation under general anesthesia. After routine anesthesia induction orotracheal intubation was performed with GlideScope videolaryngoscope; the patients were randomly divided into two groups (n=30 in each): Group M received modified orotracheal intubation and Group C received conventional orotracheal intubation. Noninvasive blood pressure and heart rate were recorded before and after anesthesia induction, at intubation, 1 and 3 min after intubation.
The time of intubation procedure was significantly longer in Group C than in Group M. BP and HR significantly decreased after intubation, there were no differences between two groups.
The modified method can improve the readiness of the procedure but it shows no advantages in prevention of adverse hemodynamic responses during the orotracheal intubetion of videolaryngoscopy.
比较GlideScope视频喉镜经口气管插管的改良方法与传统方法。
选择60例年龄21 - 53岁、ASA身体状况分级为I - II级的患者,拟行择期腹部手术并接受全身麻醉。常规麻醉诱导后,使用GlideScope视频喉镜行经口气管插管;患者被随机分为两组(每组n = 30):M组接受改良经口气管插管,C组接受传统经口气管插管。记录麻醉诱导前、诱导后、插管时、插管后1分钟和3分钟的无创血压和心率。
C组插管操作时间明显长于M组。插管后血压和心率明显下降,两组之间无差异。
改良方法可提高操作的准备程度,但在视频喉镜经口气管插管过程中预防不良血流动力学反应方面无优势。