Ajimi Junko, Nishiyama Junichi, Masuda Ritsuko, Shibata Takeo, Furuya Hiroyuki, Hosoi Sadanori, Soejima Akiko, Suzuki Toshiyasu
Department of Anesthesiology, Hachioji-hospital, Tokai University School of Medicine, 1838 Ishikawamachi, Hachioji, Tokyo 192-0032, Japan:
Tokai J Exp Clin Med. 2018 Dec 20;43(4):139-142.
Because of the shape of a double-lumen tube (DLT), it is more difficult to use for intubation than an ordinary endotracheal tube. We prospectively investigated the usefulness of the Airtraq DL attached to the Universal Adapter for Smartphones for DLT intubation.
At Tokai University Hachioji Hospital, anesthesiologists with ≥ 5 years' clinical experience intubated a tracheal intubation training mannequin with DLTs using the Airtraq DL (Airtraq-alone phase) and the Airtraq DL attached to the Universal Adapter for Smartphones (adapter phase), and the time required was measured.
The mean time required for intubation was shorter in the adapter phase than in the Airtraq-alone phase for all anesthesiologists (adapter phase, 9.05±2.48 seconds; Airtraq-alone phase, 10.67±2.19 seconds).
The use of Airtraq DL a ttached to t he Universal Adapter for Smartphones significantly reduced the time required for DLT intubation. Furthermore, the combination of these devices was found to be useful and safe for DLT intubation because they provide a significant amount of information on the area from the oral cavity to the opening of the trachea and have high educational value because their combined use allows several physicians to share imaging information.
由于双腔气管导管(DLT)的形状,其插管操作比普通气管内导管更困难。我们前瞻性地研究了连接到智能手机通用适配器的Airtraq DL用于DLT插管的有效性。
在东海大学八王子医院,具有≥5年临床经验的麻醉医生使用Airtraq DL(仅使用Airtraq阶段)和连接到智能手机通用适配器的Airtraq DL(适配器阶段)对气管插管训练模型进行DLT插管,并测量所需时间。
对于所有麻醉医生,适配器阶段的平均插管时间均短于仅使用Airtraq阶段(适配器阶段,9.05±2.48秒;仅使用Airtraq阶段,10.67±2.19秒)。
使用连接到智能手机通用适配器的Airtraq DL显著缩短了DLT插管所需的时间。此外,发现这些设备的组合对于DLT插管是有用且安全的,因为它们提供了从口腔到气管开口区域的大量信息,并且具有很高的教育价值,因为它们的联合使用允许多位医生共享成像信息。