Wu Meng-Yu, Yiang Giou-Teng, Ke Jian-Yu, Chen Chien-Sheng, Lin Po-Chen, Chen Yu-Long
Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 231 New Taipei, Taiwan.
Department of Emergency Medicine, School of Medicine, Tzu Chi University, 970 Hualien, Taiwan.
Emerg Med Int. 2021 Feb 25;2021:6614523. doi: 10.1155/2021/6614523. eCollection 2021.
Difficult airway management in critically ill patients remains a difficult task associated with high morbidity and mortality rates. In difficult airway populations, prompt effective intubation is more important to prevent hypoxia and neurological injury. During the ongoing COVID-19 pandemic, prolonged intubation time and repeated intubation can lead to an increase in the risk of infection. Therefore, digital devices can shorten intubation times and decrease the risk of infection among clinical staff. The advantages of the Trachway videolight intubating stylet suit these conditions. Trachway stylet intubation is an effective method for video laryngoscopy to enhance patient safety and improve the intubation success rate. However, a few studies have focused on the effect of stylet intubation by reducing repeated intubation and oxygen desaturation. In this study, we reviewed current data of Trachway intubation and shared our four major training scenarios in Taipei Tzu Chi Hospital via the Trachway videolight intubating stylet system for emergency intubation, comparing them with other modes of intubation.
危重症患者的困难气道管理仍然是一项艰巨的任务,与高发病率和死亡率相关。在困难气道人群中,迅速有效的插管对于预防缺氧和神经损伤更为重要。在持续的新冠疫情期间,延长插管时间和重复插管会导致感染风险增加。因此,数字设备可以缩短插管时间并降低临床工作人员的感染风险。Trachway视频光导插管探条的优势符合这些条件。Trachway探条插管是一种有效的视频喉镜检查方法,可提高患者安全性并提高插管成功率。然而,很少有研究关注通过减少重复插管和氧饱和度下降来评估探条插管的效果。在本研究中,我们回顾了Trachway插管的当前数据,并通过Trachway视频光导插管探条系统分享了台北慈济医院紧急插管的四种主要培训场景,并将其与其他插管方式进行比较。