经胸按压与不经胸按压时使用 Macintosh 喉镜和 2 种视频喉镜进行气管插管。
Tracheal intubation using Macintosh and 2 video laryngoscopes with and without chest compressions.
机构信息
Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
出版信息
Am J Emerg Med. 2011 Jul;29(6):682-6. doi: 10.1016/j.ajem.2010.02.014. Epub 2010 May 1.
PURPOSE
The aim of the study was to compare the time taken for intubation (TTI) using the Macintosh and 2 video laryngoscopes (VLs) (GlideScope [GVL]; Saturn Biomedical System, Burnaby, British Columbia, Canada, and Airway Scope [AWS]; Pentax, Tokyo, Japan) with and without chest compressions by experienced intubators in a mannequin model.
METHODS
This was a randomized crossover study. Twenty-two experienced physicians who have limited experience in the VLs participated in the study. The TTI using 3 laryngoscopes with and without compressions were compared.
RESULTS
Median TTI difference between 2 conditions was only significant in the AWS (1.64 seconds; P = .01). There were no significant differences in the TTI between the Macintosh and the GVL or the AWS during compressions.
CONCLUSION
In a mannequin model, the Macintosh or the GVL was not affected by chest compressions. The TTI using the AWS was delayed by compressions but not clinically significant. Considering the lack of experience, 2 VLs may be useful adjuncts for intubation by experienced intubators during chest compressions.
目的
本研究旨在比较使用 Macintosh 和 2 种视频喉镜（GlideScope [GVL]；加拿大不列颠哥伦比亚省本拿比市 Saturn Biomedical System 和 Airway Scope [AWS]；日本宾得株式会社）插管的时间（TTI），并评估在有或无胸外按压的情况下，经验丰富的插管医师在模型中完成这一操作所需的时间。
方法
这是一项随机交叉研究。22 名对视频喉镜有限经验的有经验医师参与了这项研究。比较了 3 种喉镜在有或无按压情况下的 TTI。
结果
仅在 AWS 中，2 种情况下的 TTI 差异具有统计学意义（1.64 秒；P =.01）。在有按压的情况下，Macintosh 和 GVL 之间或 AWS 与 Macintosh 之间的 TTI 无显著差异。
结论
在模型中，Macintosh 或 GVL 不受胸外按压的影响。AWS 下 TTI 因按压而延迟，但无临床意义。考虑到经验有限，2 种视频喉镜可能是有经验的插管医师在进行胸外按压时进行插管的有用辅助工具。
Zotero 插件