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[使用Trachlight进行气管插管:100例患者的临床评估]

[Tracheal intubation with Trachlight: clinical assessment in one hundred patients].

作者信息

Kawano Hiroaki, Matsumoto Tomomi, Hamaguchi Eisuke, Yamada Akihiro, Tada Fumihiko

机构信息

Department of Anesthesiology and Clinical Research, National Hospital Organization Zentsuji Hospital, Zentsuji 765-8507.

出版信息

Masui. 2013 Jul;62(7):836-40.

PMID:23905407
Abstract

BACKGROUND

The lightwand device (Trachligh) is effective and safe for difficult tracheal intubation. We recorded the process of acquiring the intubation technique with Trachlight and evaluated the usefulness of Trachlight for tracheal intubation.

METHODS

Tracheal intubation with Trachlight was performed by inexperienced anesthesiologists in one hundred patients undergoing general anesthesia. The time to tracheal intubation was recorded.

RESULTS

Tracheal intubation with Trachlight was successful in 92 (92%) of 100 patients. As the experience of anesthesiologists increased, both the time to tracheal intubation and the success rate improved. There were no significant correlations between the time to tracheal intubation and any of the airway parameters for Trachlight intubation.

CONCLUSIONS

This study suggests that the experience of at least 30 cases is necessary to learn the intubation technique with Trachlight.

摘要

背景

光棒装置(Trachligh)用于困难气管插管有效且安全。我们记录了使用Trachlight获得插管技术的过程,并评估了Trachlight用于气管插管的实用性。

方法

由经验不足的麻醉医生对100例接受全身麻醉的患者使用Trachlight进行气管插管。记录气管插管时间。

结果

100例患者中92例(92%)使用Trachlight气管插管成功。随着麻醉医生经验的增加,气管插管时间和成功率均有所提高。气管插管时间与Trachlight插管的任何气道参数之间均无显著相关性。

结论

本研究表明,至少需要30例的经验才能学会使用Trachlight的插管技术。

相似文献

1
[Tracheal intubation with Trachlight: clinical assessment in one hundred patients].[使用Trachlight进行气管插管:100例患者的临床评估]
Masui. 2013 Jul;62(7):836-40.
2
[Light-guided tracheal intubation using a Trachlight: causes of difficulty and skill acquisition].[使用Trachlight进行光导气管插管:困难原因与技能习得]
Masui. 1999 Jun;48(6):672-7.
3
[Clinical experience of tracheal intubation using Trachlight in patients with unstable dentition].
Masui. 2006 Aug;55(8):999-1001.
4
[Light-guided intubation using Trachlight].
Minerva Anestesiol. 1996 Nov;62(11):377-83.
5
A comparative study of tracheal intubation using an intubating laryngeal mask (Fastrach) alone or together with a lightwand (Trachlight).单独使用插管喉罩(Fastrach)或联合光棒(Trachlight)进行气管插管的对比研究。
J Clin Anesth. 2000 Dec;12(8):581-5. doi: 10.1016/s0952-8180(00)00219-1.
6
Transillumination-assisted orotracheal intubation: a comparison of the Bonfils fibrescope and the lightwand (Trachlight).光导纤维喉镜与光棒(Trachlight)在经口明视气管插管中的比较:光透射辅助插管法
Acta Anaesthesiol Scand. 2012 May;56(5):565-70. doi: 10.1111/j.1399-6576.2011.02627.x.
7
Clinical trial of a new lightwand device (Trachlight) to intubate the trachea.一种新型光棒装置(Trachlight)用于气管插管的临床试验。
Anesthesiology. 1995 Sep;83(3):509-14. doi: 10.1097/00000542-199509000-00009.
8
[Assessment of a new light guide (Trachlight) for tracheal intubation].[一种用于气管插管的新型光导(Trachlight)的评估]
Ann Fr Anesth Reanim. 1997;16(3):229-33. doi: 10.1016/s0750-7658(97)86406-4.
9
Lightwand intubation: II--Clinical trial of a new lightwand for tracheal intubation in patients with difficult airways.光棒引导插管:II——一种用于困难气道患者气管插管的新型光棒的临床试验
Can J Anaesth. 1995 Sep;42(9):826-30. doi: 10.1007/BF03011187.
10
Heart rate/blood pressure response and airway morbidity following tracheal intubation with direct laryngoscopy, GlideScope and Trachlight: a randomized control trial.直接喉镜、GlideScope 和 Trachlight 插管后心率/血压反应和气道发病率:一项随机对照试验。
Eur J Anaesthesiol. 2009 Sep;26(9):740-5. doi: 10.1097/EJA.0b013e32832b138d.

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