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使用人体模型对KingVision视频喉镜和气道镜的比较研究

[Comparative study of the KingVision videolaryngoscope and Airwayscope using manikins].

作者信息

Hayashi Kentaro, Shimada Nobuhiro, Shiba Juntaro, Niwa Yasunori, Takeuchi Mamoru

出版信息

Masui. 2014 Aug;63(8):927-30.

Abstract

BACKGROUND

KingVision (KV) is a new videolaryngoscope. In this study, we compared the ease of use of the KV with the Airwayscope (AWS) by experienced personnel in a simulated manikin.

METHODS

Twenty-eight anesthesiologists participated in this study. We used an advanced patient simulator (AIRSIM) to simulate normal manikin and difficult airway scenarios including cervical spine rigidity and limited mouth opening. We compared the time required for visualization of the glottis (Tv) and tracheal intubation (Ti), and analyzed the percentage of glottic opening (POGO) score and the success rates for tracheal intubation.

RESULTS

In normal manikin, the Tv and Ti with the KV were significantly shorter than with the AWS (P < 0.05). The POGO score with the KV was higher than with the AWS (P < 0.05). In difficult airway scenarios including both cervical spine rigidity and limited mouth opening, the Tv and Ti with the KV were shorter than with only the AWS (P < 0.05). There is not much difference between KV and AWS regarding the POGO score in difficult airway.

CONCLUSIONS

KV may be a suitable device for routine anesthesia care and difficult airway intubation. Further studies in a clinical setting are necessary to confirm these findings.

摘要

背景

KingVision(KV)是一种新型视频喉镜。在本研究中,我们让经验丰富的人员在模拟人体模型中比较了KV与气道镜(AWS)的易用性。

方法

28名麻醉医生参与了本研究。我们使用先进的患者模拟器(AIRSIM)模拟正常人体模型和困难气道情况,包括颈椎僵硬和张口受限。我们比较了声门可视化(Tv)和气管插管(Ti)所需的时间,并分析了声门开口百分比(POGO)评分和气管插管成功率。

结果

在正常人体模型中,KV的Tv和Ti明显短于AWS(P < 0.05)。KV的POGO评分高于AWS(P < 0.05)。在包括颈椎僵硬和张口受限的困难气道情况下,KV的Tv和Ti短于仅使用AWS时(P < 0.05)。在困难气道中,KV和AWS在POGO评分方面差异不大。

结论

KV可能是常规麻醉护理和困难气道插管的合适设备。需要在临床环境中进行进一步研究以证实这些发现。

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