Anaesthetic Department, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
Anaesthesia. 2011 Mar;66(3):180-4. doi: 10.1111/j.1365-2044.2011.06621.x.
In a randomised controlled study, we compared the ease of railroading a GlideRite® nasal tracheal tube over a fibrescope with that of a pre-rotated RAE™ nasal tracheal tube. We studied 110 anaesthetised patients with no known airway difficulties undergoing elective dental or maxillofacial surgery. Impingement was more common with the GlideRite tubes (11/55 (20%)) compared with the pre-rotated RAE tubes (3/55 (5%); p=0.02). The median (IQR [range]) time to intubation (GlideRite 7.6 (4.7-10.8 [3.0-46.2]) s; RAE 8.0 (6.2-10.7 [2.4-30.0]) s) and postoperative sore throat numerical ratings (GlideRite 2 (0-3 [0-10]); RAE 2 (0-5 [0-8])) were similar. A 90° anticlockwise pre-rotation of a standard nasal RAE tube has a higher initial rate of successful railroading at first attempt and is therefore superior to a GlideRite nasotracheal tube during nasal fibreoptic intubation.
在一项随机对照研究中，我们比较了在纤维喉镜下将 GlideRite® 鼻气管导管顺行推送与预旋转 RAE™ 鼻气管导管的难易程度。我们研究了 110 例无已知气道困难的麻醉患者，这些患者接受择期牙科或颌面外科手术。GlideRite 管的撞击更为常见（11/55(20%）），而预旋转 RAE 管的撞击则较为少见（3/55(5%）；p=0.02）。插管时间的中位数（IQR[范围]）（GlideRite 为 7.6(4.7-10.8[3.0-46.2])s；RAE 为 8.0(6.2-10.7[2.4-30.0])s）和术后咽痛数字评分（GlideRite 为 2(0-3[0-10]）；RAE 为 2(0-5[0-8]））相似。标准鼻 RAE 管逆时针预旋转 90°，首次尝试时顺行推送的成功率更高，因此在鼻纤维光导插管期间优于 GlideRite 鼻气管导管。
