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在潜在困难气道管理中使用Airtraq喉镜或麦金托什喉镜时声门暴露情况的比较：一项自身对照临床试验。

A comparison of exposure of Glottis using the Airtraq or the Macintosh Laryngoscope in Potentially difficult airway management: A self-controlled clinical trial.

作者信息

Wang Ji-Ming, Ma Er-Li, Zuo Yun-Xia, Lin Jing, Liang Peng, Li Xiao-Qiang

机构信息

Ji-Ming Wang, MD. Department of Anesthesiology, Shenzhen Bao'an Shajing People's Hospital, Guangzhou Medical University, Shenzhen 518104, Guangdong, China.

Er- Li Ma, MD. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China.

出版信息

Pak J Med Sci. 2018 Jul-Aug;34(4):923-928. doi: 10.12669/pjms.344.14411.

DOI:10.12669/pjms.344.14411
PMID:30190754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6115574/
Abstract

OBJECTIVE

To compare glottis exposure of the same patients with potentially difficult tracheal intubation (PDTI) subjected to Airtraq laryngoscopy and Macintosh laryngoscopy under consciousness and topical anesthesia.

METHODS

A total of 147 PDTI patients with American Society of Anesthesiologists (ASA) I-III were subjected to Airtraq and Macintosh laryngoscopy performed by experienced anesthesiologists under consciousness and topical anesthesia.

RESULTS

All patients were successfully intubated. Among them, three patients were intubated with fiberoptic bronchoscopy, 13 with Macintosh laryngoscopy and 131 with Airtraq laryngoscopy. Of the patients with Cormack and Lehance (C&L) Grade-I glottic view, 88 were subjected to Airtraq laryngoscopy and five to Macintosh laryngoscopy; Of the patients with C&L Grade-II glottic view, 56 were subjected to Airtraq laryngoscopy and 21 to Macintosh bronchoscopy; Of the patients with C&L Grade-III glottic view, three were subjected to Airtraq laryngoscopy and 112 to Macintosh bronchoscopy; Of the patients with C&L Grade-IV glottic view, none was subjected to Airtraq laryngoscopy and 9 to Macintosh laryngoscopy.

CONCLUSIONS

Airtraq laryngoscopy could significantly improve the glottis exposure and reduce the difficulty of intubation for patients with potentially tracheal intubation compared to the traditional Macintosh laryngoscopy.

摘要

目的

比较在清醒状态及表面麻醉下，使用Airtraq喉镜和Macintosh喉镜对同一组存在潜在困难气管插管（PDTI）患者的声门暴露情况。

方法

147例美国麻醉医师协会（ASA）分级为I-III级的PDTI患者，由经验丰富的麻醉医师在清醒状态及表面麻醉下分别使用Airtraq喉镜和Macintosh喉镜进行操作。

结果

所有患者均成功插管。其中，3例患者使用纤维支气管镜插管，13例使用Macintosh喉镜插管，131例使用Airtraq喉镜插管。在声门视野为Cormack和Lehance（C&L）I级的患者中，88例使用Airtraq喉镜，5例使用Macintosh喉镜；在声门视野为C&L II级的患者中，56例使用Airtraq喉镜，21例使用Macintosh喉镜；在声门视野为C&L III级的患者中，3例使用Airtraq喉镜，112例使用Macintosh喉镜；在声门视野为C&L IV级的患者中，无患者使用Airtraq喉镜，9例使用Macintosh喉镜。

结论

与传统的Macintosh喉镜相比，Airtraq喉镜可显著改善存在潜在气管插管困难患者的声门暴露，降低插管难度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2197/6115574/eadcc7e4e16f/PJMS-34-923-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2197/6115574/550e280a2ade/PJMS-34-923-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2197/6115574/eadcc7e4e16f/PJMS-34-923-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2197/6115574/550e280a2ade/PJMS-34-923-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2197/6115574/eadcc7e4e16f/PJMS-34-923-g002.jpg

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BMC Anesthesiol. 2017 May 26;17(1):68. doi: 10.1186/s12871-017-0362-y.
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Comparison of the macintosh and airtraq laryngoscopes in morbidly obese patients: a randomized and prospective study.麦金托什喉镜与AirTraq喉镜在病态肥胖患者中的比较：一项随机前瞻性研究。
J Clin Anesth. 2017 Feb;36:136-141. doi: 10.1016/j.jclinane.2016.10.023. Epub 2016 Dec 2.
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一项随机交叉试验，比较Airtraq(®) NT喉镜、McGrath(®) MAC喉镜和麦金托什喉镜在模拟人体模型中对易和难气道进行鼻气管插管的效果
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