Department of Anaesthesia and Peri-operative Medicine, University Hospital Complex of A Coruña, A Coruña, Galicia, Spain.
Spanish Difficult Airway Group (GEVAD), A Coruña, Spain.
Anaesthesia. 2019 Jun;74(6):751-757. doi: 10.1111/anae.14637. Epub 2019 Apr 1.
The Totaltrack is a new video laryngeal mask, which combines a supraglottic airway with a videolaryngoscope. We evaluated the performance of this device in an observational study in 300 adult patients. The Totaltrack was inserted at the first attempt and the glottis seen in all cases. In 249 patients (83%; 95%CI 78.7-87.3%) the glottis was seen at the first attempt. Adequate ventilation and tracheal intubation were achieved in all patients. The median time to visualisation of vocal cords, to confirmation of ventilation and to successful tracheal intubation was 5 s, 13 s and 24 s, respectively. Nineteen patients (6.3%; 95%CI 3.55-9.05%) suffered minor complications, such as mucosal lesion or blood staining. The Totaltrack appears effective for airway management.
Totaltrack 是一种新型视频喉镜下喉罩，它将声门上气道和视频喉镜结合在一起。我们在一项 300 例成年患者的观察性研究中评估了该设备的性能。Totaltrack 一次尝试即成功插入，所有病例均可见声门。249 例患者（83%；95%CI 78.7-87.3%）一次尝试即可观察到声门。所有患者均实现了充分通气和气管插管。声带可视化、通气确认和成功气管插管的中位时间分别为 5 秒、13 秒和 24 秒。19 例患者（6.3%；95%CI 3.55-9.05%）发生了轻微并发症，如黏膜损伤或血污。Totaltrack 似乎可有效用于气道管理。
