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急诊医生使用 GlideScope 视频喉镜进行经口气管插管:345 例成年患者的多中心分析。

Endotracheal intubation using a GlideScope video laryngoscope by emergency physicians: a multicentre analysis of 345 attempts in adult patients.

机构信息

Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, Republic of Korea.

出版信息

Emerg Med J. 2010 May;27(5):380-2. doi: 10.1136/emj.2009.073460.

Abstract

OBJECTIVE

To investigate the use and success rates of the GlideScope (GVL) by emergency physicians (EPs) during the initial two years after its introduction.

METHODS

We performed an observational study using registry data of five emergency departments. The success rates in adult patients were evaluated and compared with those of conventional laryngoscope (CL).

RESULTS

The GVL was used in 345 (10.7%) of 3233 intubation attempts by EPs. The overall success rate of the GVL was not higher than a CL (79.1% vs 77.6%, p=0.538). The success rate for the patients with difficult airway was higher in the GVL than a CL (80.0% vs 50.4%, p<0.001).

CONCLUSION

The GVL was not used frequently by EPs during the initial two years after its introduction. Although the GVL provides a better glottic view, the overall success rates were similar to a CL. The GVL may be useful in patients with difficult airway.

摘要

目的

调查引进 GlideScope(GVL)后急诊医师(EPs)在前两年的使用情况和成功率。

方法

我们使用五个急诊室的注册数据进行了一项观察性研究。评估了成人患者的成功率,并与传统喉镜(CL)进行了比较。

结果

GVL 用于 3233 次 EPs 插管尝试中的 345 次(10.7%)。GVL 的总体成功率并不高于 CL(79.1%比 77.6%,p=0.538)。在困难气道患者中,GVL 的成功率高于 CL(80.0%比 50.4%,p<0.001)。

结论

引进 GVL 后的前两年,EPs 并未频繁使用它。尽管 GVL 提供了更好的声门视图,但总体成功率与 CL 相似。GVL 可能对困难气道患者有用。

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