实习麻醉医生对Glidescope喉镜和Macintosh喉镜的常规使用

Routine Use of Glidescope and Macintosh Laryngoscope by Trainee Anesthetists.

作者信息

Aqil Mansoor, Khan Mueen Ullah, Hussain Altaf, Khokhar Rashid Saeed, Mansoor Saara, Alzahrani Tariq

机构信息

Department of Anesthesiology, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.

Medical Student, Alfaisal University, Riyadh, Saudi Arabia.

出版信息

J Coll Physicians Surg Pak. 2016 Apr;26(4):245-9.

PMID:27097690

Abstract

OBJECTIVE

To compare intubating conditions, success rate, and ease of intubation by anesthesia trainees using Glidescope Videolaryngoscope (GVL) compared to Macintosh laryngoscope (MCL).

STUDY DESIGN

Comparative study.

PLACE AND DURATION OF STUDY

King Khalid University Hospital, Riyadh, Saudi Arabia, from January 2012 to February 2015.

METHODOLOGY

Eighty adult patients ASAI and II with normal airway, scheduled to undergo elective surgery requiring endotracheal (ET) intubation were enrolled. Patients were randomly divided into 2 groups: GVL and MCL. All intubations were performed by trainee residents having experience of more than 1 year and who had successfully performed more than 50 tracheal intubations with each device. Glottic view based on Cormack and Lehane's (C&L's) score and percentage of glottis opening (POGO) score, time to successful intubation, need of external pressure, and overall difficulty scores were compared using either GVL or MCL.

RESULTS

View of glottis based on C&L's classification was better (p < 0.001) and POGO score was higher (88.25 ±22.06 vs. 57.25 ±29.26, p < 0.001) with GVL compared to MCL. Time to intubate in seconds was (32.90 ±8.69 vs. 41.33 ±15.29, p = 0.004) and overall difficulty score was less 2.78 ±1.39 vs. 4.85 ±1.75 (p < 0.001) using GVL compared to MCL.

CONCLUSION

Residents found ET intubation to be faster and easier with superior glottic view using GVL compared to MCL in patients with normal airway.

摘要

目的

比较麻醉实习生使用Glidescope视频喉镜（GVL）和麦金托什喉镜（MCL）时的插管条件、成功率及插管难易程度。

研究设计

对比研究。

研究地点及时间

沙特阿拉伯利雅得的哈立德国王大学医院，2012年1月至2015年2月。

方法

纳入80例气道正常、拟行择期手术需气管插管的ASA I级和II级成年患者。患者随机分为两组：GVL组和MCL组。所有插管均由经验超过1年且每种设备成功完成超过50次气管插管的住院医师实习生进行。比较使用GVL或MCL时基于Cormack和Lehane（C&L）评分的声门视野、声门开口百分比（POGO）评分、成功插管时间、外部按压需求及总体困难评分。

结果

与MCL相比，基于C&L分类的GVL声门视野更好（p<0.001），POGO评分更高（88.25±22.06对57.25±29.26，p<0.001）。GVL的插管时间（秒）为（32.90±8.69对41.33±15.29，p = 0.004），总体困难评分更低（2.78±1.39对4.85±1.75，p<0.001）。