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经 Optiscope™ 与常规喉镜行气管插管后血流动力学变化的比较。

A comparison of hemodynamic changes after endotracheal intubation by the Optiscope™ and the conventional laryngoscope.

机构信息

Department of Anesthesiology and Pain Medicine, College of Medicine, Chung-Ang University, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2012 Aug;63(2):130-5. doi: 10.4097/kjae.2012.63.2.130. Epub 2012 Aug 14.

DOI:10.4097/kjae.2012.63.2.130
PMID:22949980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3427805/
Abstract

BACKGROUND

Optiscope™ is a newly developed video stylet device. This study evaluated and compared the hemodynamic changes observed after endotracheal intubation with video stylet and after conventional laryngoscopic endotracheal intubation.

METHODS

Fifty-eight adult patients with American Society of Anesthesiologists (ASA) physical status class 1 or 2, undergoing general anesthesia, were randomized into two groups: one group of patients were intubated using video stylet (n = 29) and the other group were intubated using direct laryngoscope (n = 29). Systolic blood pressure (SBP), mean arterial pressure (MAP), diastolic blood pressure (DBP), heart rate (HR), POGO (percentage of glottic opening) score, time for intubation and degree of sore throat were recorded.

RESULTS

There were no significant differences in the SBP, MAP, DBP, HR, and the sore throat incidence between the two groups. Optiscope™ produced better POGO scores, but time for intubation was longer than with conventional laryngoscope.

CONCLUSIONS

Optiscope™, when compared with conventional laryngoscope for intubation, does not modify the hemodynamic response, but it provides a better view of the vocal cords.

摘要

背景

Optiscope™ 是一种新开发的视频插管镜设备。本研究评估并比较了使用视频插管镜和传统喉镜进行气管插管后观察到的血流动力学变化。

方法

58 名美国麻醉医师协会(ASA)身体状况 1 级或 2 级的成年患者接受全身麻醉,随机分为两组:一组患者使用视频插管镜(n = 29)插管,另一组患者使用直接喉镜(n = 29)插管。记录收缩压(SBP)、平均动脉压(MAP)、舒张压(DBP)、心率(HR)、POGO(声门开放百分比)评分、插管时间和咽痛程度。

结果

两组患者的 SBP、MAP、DBP、HR 和咽痛发生率无显著差异。Optiscope™ 产生了更好的 POGO 评分,但插管时间比传统喉镜长。

结论

与传统喉镜相比,Optiscope™ 插管不会改变血流动力学反应,但它提供了更好的声带视图。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/ec599db3332f/kjae-63-130-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/9c1bf2059e0f/kjae-63-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/9a04ec6bf860/kjae-63-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/de4ca34f855e/kjae-63-130-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/74e5941e39c7/kjae-63-130-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/ec599db3332f/kjae-63-130-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/9c1bf2059e0f/kjae-63-130-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/9a04ec6bf860/kjae-63-130-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/de4ca34f855e/kjae-63-130-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/74e5941e39c7/kjae-63-130-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba9e/3427805/ec599db3332f/kjae-63-130-g005.jpg

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