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本文引用的文献

1
Comparing GlideScope Video Laryngoscope and Macintosh Laryngoscope Regarding Hemodynamic Responses During Orotracheal Intubation: A Randomized Controlled Trial.比较GlideScope视频喉镜和麦金托什喉镜在经口气管插管期间的血流动力学反应：一项随机对照试验。
Iran Red Crescent Med J. 2014 Apr;16(4):e12334. doi: 10.5812/ircmj.12334. Epub 2014 Apr 5.
2
[Comparison the applications of tracheal intubation with GlideScope video laryngoscope and Macintosh direct laryngoscope in snoring patients].[比较GlideScope视频喉镜与Macintosh直接喉镜在鼾症患者气管插管中的应用]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 May;27(9):468-70.
3
Comparison of hemodynamic response to tracheal intubation with Macintosh and McCoy laryngoscopes.麦金托什喉镜和麦考伊喉镜用于气管插管时血流动力学反应的比较。
J Anaesthesiol Clin Pharmacol. 2013 Apr;29(2):196-9. doi: 10.4103/0970-9185.111710.
4
Comparison of the Macintosh, McCoy, Airtraq laryngoscopes and the intubating laryngeal mask airway in a difficult airway with manual in-line stabilisation: a cross-over simulation-based study.在手动直线稳定的困难气道中，对 Macintosh、McCoy、Airtraq 喉镜和插管型喉罩气道进行比较：一项基于交叉模拟的研究。
Eur J Anaesthesiol. 2013 Sep;30(9):544-9. doi: 10.1097/EJA.0b013e3283615b80.
5
GlideScope videolaryngoscope vs. Macintosh direct laryngoscope for intubation of morbidly obese patients: a randomized trial.可视喉镜与 Macintosh 直接喉镜用于病态肥胖患者插管的比较：一项随机试验。
Acta Anaesthesiol Scand. 2011 Oct;55(9):1090-7. doi: 10.1111/j.1399-6576.2011.02498.x. Epub 2011 Sep 8.
6
Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis.Glidescope® 视频喉镜与直接喉镜用于气管插管的比较：系统评价和荟萃分析。
Can J Anaesth. 2012 Jan;59(1):41-52. doi: 10.1007/s12630-011-9620-5. Epub 2011 Nov 1.
7
Dose adjustment of anaesthetics in the morbidly obese.病态肥胖患者的麻醉药物剂量调整。
Br J Anaesth. 2010 Dec;105 Suppl 1:i16-23. doi: 10.1093/bja/aeq312.
8
Airway management and morbid obesity.气道管理与病态肥胖。
Eur J Anaesthesiol. 2010 Nov;27(11):923-7. doi: 10.1097/EJA.0b013e32833d91aa.
9
Heart rate/blood pressure response and airway morbidity following tracheal intubation with direct laryngoscopy, GlideScope and Trachlight: a randomized control trial.直接喉镜、GlideScope 和 Trachlight 插管后心率/血压反应和气道发病率：一项随机对照试验。
Eur J Anaesthesiol. 2009 Sep;26(9):740-5. doi: 10.1097/EJA.0b013e32832b138d.
10
Predictive value of the El-Ganzouri multivariate risk index for difficult tracheal intubation: a comparison of Glidescope videolaryngoscopy and conventional Macintosh laryngoscopy.El-Ganzouri多因素风险指数对困难气管插管的预测价值：Glidescope视频喉镜与传统Macintosh喉镜的比较
Br J Anaesth. 2007 Dec;99(6):906-11. doi: 10.1093/bja/aem297. Epub 2007 Oct 25.

麦金托什喉镜、麦科伊喉镜和Glidescope视频喉镜用于病态肥胖患者插管的比较：随机对照试验。

Comparison of Macintosh, McCoy, and Glidescope video laryngoscope for intubation in morbidly obese patients: Randomized controlled trial.

作者信息

Nandakumar Keerthi P, Bhalla Amar P, Pandey Ravindra Kumar, Baidya Dalim Kumar, Subramaniam Rajeshwari, Kashyap Lokesh

机构信息

Department of Anaesthesiology and Critical Care, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Saudi J Anaesth. 2018 Jul-Sep;12(3):433-439. doi: 10.4103/sja.SJA_754_17.

DOI:10.4103/sja.SJA_754_17
PMID:30100843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6044164/
Abstract

OBJECTIVES

The aim of the study was to compare time to intubation and glottic visualization between Macintosh, McCoy, and Glidescope video laryngoscope (GVL) in morbidly obese patients.

METHODOLOGY

Forty-five American Society of Anesthesiologists I-III morbidly obese patients were randomized into three groups of 15 each and time to intubation, Cormack-Lehane grading, and Intubation Difficulty Score (IDS) were compared.

RESULTS

GVL took more time to intubate (TTI) compared to Macintosh and McCoy laryngoscope ( = 0.0001). Overall IDS were similar between the groups.

CONCLUSION

To conclude, GVL takes longer TTI with no added advantage in IDS and hemodynamic response to intubation in morbidly obese patients. McCoy is only as effective as Macintosh and hence Macintosh laryngoscope should be laryngoscope of choice due to its widespread availability and familiarity.

摘要

目的

本研究旨在比较麦金托什喉镜、麦考伊喉镜和Glidescope视频喉镜（GVL）在病态肥胖患者中的插管时间和声门可视化情况。

方法

将45例美国麻醉医师协会I - III级病态肥胖患者随机分为三组，每组15例，比较插管时间、科马克-莱汉内分级和插管难度评分（IDS）。

结果

与麦金托什喉镜和麦考伊喉镜相比，GVL插管时间更长（P = 0.0001）。各组的总体IDS相似。

结论

综上所述，在病态肥胖患者中，GVL的插管时间更长，在IDS和插管的血流动力学反应方面没有额外优势。麦考伊喉镜的效果与麦金托什喉镜相当，因此由于麦金托什喉镜广泛可得且为人熟知，应作为首选喉镜。