经直接喉镜或 Trachway®视频管芯行左侧支气管内插管，使用双腔管。

Left endobronchial intubation with a double-lumen tube using direct laryngoscopy or the Trachway® video stylet.

机构信息

Department of Anaesthesia, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan; Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Anaesthesia. 2013 Aug;68(8):851-5. doi: 10.1111/anae.12340.

DOI:10.1111/anae.12340

PMID:24044439

Abstract

We compared direct laryngoscopy with a Macintosh blade vs indirect bronchoscopy with a Trachway® stylet, for endobronchial intubation with a left-sided double-lumen tube. We allocated participants scheduled for thoracic surgery and who had normal predicted laryngoscopy, 30 to each group. The mean (SD) intubation times with laryngoscope and Trachway were 48 (11) s vs 28 (4) s, respectively, p < 0.001. The rates of hoarseness on the first postoperative day, categorised as none/mild/moderate/severe, were 10/12/7/1 and 22/6/2/0, respectively, p = 0.008, without differences on subsequent days. Left endobronchial intubation with a double-lumen tube is slower using direct laryngoscopy and causes more hoarseness than indirect bronchoscopy with a Trachway stylet.

摘要

我们比较了直接喉镜与 Macintosh 叶片和间接支气管镜与 Trachway® 管芯用于左侧双腔管的支气管内插管。我们将预计喉镜检查正常的拟行胸外科手术的参与者分配到每组 30 人。使用喉镜和 Trachway 的平均（SD）插管时间分别为 48（11）s 和 28（4）s，p<0.001。术后第一天的声音嘶哑发生率（无/轻度/中度/重度）分别为 10/12/7/1 和 22/6/2/0，p=0.008，随后几天无差异。与间接支气管镜与 Trachway 管芯相比，使用直接喉镜进行左侧双腔管支气管内插管较慢，并且引起的声音嘶哑更多。