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Airtraq喉镜和King Vision可视喉镜作为成人患者插管辅助工具的比较评估。

A comparative evaluation of the Airtraq and King Vision video laryngoscope as an intubating aid in adult patients.

作者信息

Ali Qazi Ehsan, Amir Syed Hussain, Jamil Shaista, Ahmad Sarfaraz

出版信息

Acta Anaesthesiol Belg. 2015;66(3):81-5.

PMID:26767232
Abstract

Airtraq has been shown to improve ease of intubation in patients with normal and difficult airway. King Vision video laryngoscope is a newly introduced intubating device with an attached monitor. We here hypothesized that the King Vision video laryngoscope with channeled blade performs better during intubation as compared to Airtraq. In this study, we performed a comparison between the King Vision video laryngoscope and the Airtraq with regard to time needed for intubation, number of attempts required to intubate, and complications. Fifty ASA grade I and II adult patients posted for a routine surgical procedure were randomly divided into two groups of 25 patients each. All patients were anesthetized using similar techniques. The time required to intubate patients was significantly shorter when the King Vision video laryngoscope with channeled blade was used as compared to the Airtraq (p < 0.05). The number of attempts to successfully intubate patients was also significantly lower (p < 0.05) for the King Vision video laryngoscope than for the Airtraq. The use of the Kings Vision video laryngoscope with channeled blade should be encouraged in difficult intubation situations in adult patients with a mouth opening of more than 18 mm.

摘要

已证明Airtraq可提高正常气道和困难气道患者的插管便利性。King Vision视频喉镜是一种新推出的带有附加监视器的插管设备。我们在此假设,与Airtraq相比,带有通道刀片的King Vision视频喉镜在插管过程中表现更好。在本研究中,我们对King Vision视频喉镜和Airtraq在插管所需时间、插管所需尝试次数及并发症方面进行了比较。五十例拟行常规外科手术的美国麻醉医师协会(ASA)I级和II级成年患者被随机分为两组,每组25例。所有患者均采用相似技术进行麻醉。与Airtraq相比,使用带有通道刀片的King Vision视频喉镜时患者的插管时间显著缩短(p < 0.05)。King Vision视频喉镜成功插管患者的尝试次数也显著低于Airtraq(p < 0.05)。对于成年张口大于18 mm的困难插管情况,应鼓励使用带有通道刀片的King Vision视频喉镜。

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