Department of Anaesthesiology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, Shanghai, China.
Anaesthesia. 2011 Dec;66(12):1160-7. doi: 10.1111/j.1365-2044.2011.06871.x. Epub 2011 Aug 25.
The Airtraq laryngoscope is a single-use laryngoscope designed to facilitate tracheal intubation in patients with either normal or difficult airways. The aim of this systematic review and meta-analysis was to compare the Airtraq with the conventional Macintosh laryngoscope. Data were retrieved from Medline, Embase, the Cochrane register of controlled trials, and by a manual search of bibliographies. Twelve randomised controlled trials (published between 2006 and 2011) including 1061 patients met the inclusion criteria. The Airtraq reduced intubation time significantly (mean difference -15 s; 95% CI -25 to -4 s, p < 0.00001) used by both experienced anaesthetists and novices, and it increased the first attempt success rate only in novices (relative risk 1.25; 95% CI 1.05-1.49, p = 0.07). The incidence of oesophageal intubation (relative risk 0.12; 95% CI 0.03-0.48, p < 0.05) was significantly reduced by the Airtraq. We conclude that the Airtraq laryngoscope facilitates a more rapid and accurate intubation, especially when used by novices.
Airtraq 喉镜是一种一次性使用的喉镜，旨在为有正常或困难气道的患者提供气管插管。本系统评价和荟萃分析的目的是比较 Airtraq 与传统的 Macintosh 喉镜。数据来自 Medline、Embase、Cochrane 对照试验登记处以及文献目录的手动搜索。12 项随机对照试验（发表于 2006 年至 2011 年之间）纳入了 1061 名患者，符合纳入标准。Airtraq 显著缩短了插管时间（平均差异-15 秒；95%置信区间-25 至-4 秒，p < 0.00001），无论是经验丰富的麻醉师还是新手都能使用，并且仅在新手时提高了首次尝试的成功率（相对风险 1.25；95%置信区间 1.05-1.49，p = 0.07）。Airtraq 降低了食管插管的发生率（相对风险 0.12；95%置信区间 0.03-0.48，p < 0.05）。我们得出结论，Airtraq 喉镜可加快和提高插管的准确性，尤其是在新手使用时。
