一项关于在儿科人群中使用Airtraq进行气管插管可行性的观察性研究。

An observational study of feasibility of tracheal intubation using Airtraq in pediatric population.

作者信息

Thakare Devendra Wasudeo, Malde Anila Devchand

机构信息

Department of Anaesthesiology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.

出版信息

J Anaesthesiol Clin Pharmacol. 2017 Jul-Sep;33(3):365-370. doi: 10.4103/joacp.JOACP_331_16.

DOI:10.4103/joacp.JOACP_331_16

PMID:29109637

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5672526/

Abstract

BACKGROUND AND AIM

There is a paucity of observational studies for the use of Airtraq (AT) in children, especially infants. We undertook a prospective observational study to compare ease of use of infant (size 0), pediatric (size 1), and small (size 2) AT.

MATERIAL AND METHODS

AT was used for endotracheal intubation in healthy pediatric patients of 3 months to 18 years age. The primary outcome was success of intubation which was noted as number (%) and analyzed using Fisher's exact test. The secondary outcomes were percentage of glottis opening (POGO) score, visual analog scale (VAS) for field of view, time to best view (TTBV), time to intubation (TTI), and VAS for ease of use and were presented as median (interquartile range) in each subgroup of sizes and analyzed using Kruskal-Wallis test.

RESULTS

Overall POGO score was 100 (100, 100 [50-100]) %, VAS field of view was 10 (10, 10 [5-10]), and TTBV was 6 (4, 10 [1.5-24]) s. There was no statistically significant difference in any of the subgroups. The success rate of intubation with AT was 100% with AT size 1 and 2, whereas 45% with AT 0, < 0.001. VAS for ease of use was 5 (4, 10 [3-10]) with AT 0 compared to 10 (10, 10 [9-10]) with AT 1 and 10 (10, 10 [6-10]) with AT 2 ( < 0.001). TTI was 28 (20, 36 [11.8-59]) s in those who could be successfully intubated.

CONCLUSIONS

All sizes of AT provide quick, easy, and excellent glottic visualization. However, failure rate for intubation with infant (size 0) is high compared to nil with pediatric (size 1) and small (size 2).

摘要

背景与目的

关于儿童尤其是婴儿使用Airtraq喉镜（AT）的观察性研究较少。我们进行了一项前瞻性观察性研究，以比较婴儿型（0号）、儿童型（1号）和小型（2号）AT的易用性。

材料与方法

AT用于3个月至18岁健康儿科患者的气管插管。主要结局是插管成功率，记录为数量（%），并采用Fisher精确检验进行分析。次要结局包括声门开放百分比（POGO）评分、视野视觉模拟量表（VAS）、获得最佳视野时间（TTBV）、插管时间（TTI）以及易用性VAS，在每个尺寸亚组中以中位数（四分位间距）呈现，并采用Kruskal-Wallis检验进行分析。

结果

总体POGO评分为100（100, 100 [50 - 100]）%，VAS视野评分为10（10, 10 [5 - 10]），TTBV为6（4, 10 [1.5 - 24]）秒。各亚组之间在任何一项指标上均无统计学显著差异。1号和2号AT的插管成功率为100%，而0号AT的成功率为45%，P < 0.001。0号AT的易用性VAS为5（4, 10 [3 - 10]），1号AT为10（10, 10 [9 - 10]），2号AT为10（10, 10 [6 - 10]），P < 0.001。成功插管者的TTI为28（20, 36 [11.8 - 59]）秒。