[视频喉镜检查降低食管误插发生率：一项荟萃分析]
[Video Laryngoscopy Reduces the Incidence of Erroneous Esophageal Intubation: A Meta-analysis].
作者信息
Shimada Mami, Hirabayashi Yoshihiro
出版信息
Masui. 2015 May;64(5):557-61.
BACKGROUND
The aim of this meta-analysis is to compare the incidence of erroneous esophageal intubations by video laryngoscopy to that by direct laryngoscopy.
METHODS
The systematic search, data extraction, critical appraisal, and pooled analysis were performed according the PRISMA statement. The odds ratio(OR) and 95% confidence interval (CI) were calculated by the Review Manager 5.2 software for dichotomous outcome.
RESULTS
Eleven trials included 1425 tracheal intubations by video laryngoscopy and 1632 tracheal intubations by Macintosh laryngoscopy. Video laryngoscopy reduced the risk of erroneous esophageal intubations (OR 0.10, 95% CI 0.04-0.24, P < 0.00001, I2 : 0%) compared with Macintosh laryngoscopy.
CONCLUSIONS
Our meta-analysis showed that video laryngoscopy would reduce the incidence of erroneous esophageal intubations.
背景
本荟萃分析的目的是比较视频喉镜引导下与直接喉镜引导下食管插管错误的发生率。
方法
按照PRISMA声明进行系统检索、数据提取、严格评价和汇总分析。采用Review Manager 5.2软件计算二分变量结果的比值比（OR）和95%置信区间（CI）。
结果
11项试验纳入了1425例视频喉镜引导下气管插管和1632例Macintosh喉镜引导下气管插管。与Macintosh喉镜相比，视频喉镜降低了食管插管错误的风险（OR 0.10，95%CI 0.04 - 0.24，P < 0.00001，I²：0%）。
结论
我们的荟萃分析表明，视频喉镜可降低食管插管错误的发生率。
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