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喉罩气道-安特里插管导管-纤维支气管镜技术在困难插管中的应用。

Use of the Laryngeal Mask Airway-Aintree Intubating Catheter-fiberoptic bronchoscope technique for difficult intubation.

机构信息

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

出版信息

J Clin Anesth. 2011 Nov;23(7):534-9. doi: 10.1016/j.jclinane.2011.02.005. Epub 2011 Oct 12.

DOI:10.1016/j.jclinane.2011.02.005
PMID:21996015
Abstract

STUDY OBJECTIVE

To determine whether intubation using an Aintree Intubation Catheter (AIC), fiberoptic intubation (FOB), and Laryngeal Mask Airway (LMA) is safe and effective for securing the airway in patients who are difficult to intubate after induction of general anesthesia.

DESIGN

Retrospective review of departmental difficult airway database procedures completed between July 2006 and December 2009.

SETTING

Academic medical center.

MEASUREMENTS AND MAIN RESULTS

During the study period, 128 of 500 patients entered into the difficult airway database underwent the LMA-AIC-FOB technique for intubation. One hundred nineteen (93%) of the 128 patients were successfully intubated by the LMA-AIC-FOB technique, and 9 required an alternate technique. No patient who underwent the LMA-AIC-FOB technique experienced an airway-related mortality or required an emergency surgical airway procedure.

CONCLUSION

The LMA-AIC-FOB technique is safe and effective for patients who are difficult to intubate after induction of anesthesia.

摘要

研究目的

确定在全麻诱导后难以插管的患者中,使用 Aintree 插管导管(AIC)、纤维光学插管(FOB)和喉罩气道(LMA)插管是否安全有效。

设计

对 2006 年 7 月至 2009 年 12 月完成的部门困难气道数据库程序进行回顾性审查。

地点

学术医疗中心。

测量和主要结果

在研究期间,500 名患者进入困难气道数据库,其中 128 名患者接受 LMA-AIC-FOB 技术进行插管。128 例患者中,有 119 例(93%)通过 LMA-AIC-FOB 技术成功插管,9 例需要替代技术。没有接受 LMA-AIC-FOB 技术的患者发生与气道相关的死亡率或需要紧急手术气道程序。

结论

对于全麻诱导后难以插管的患者,LMA-AIC-FOB 技术是安全有效的。

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