Anaesthesia and Intensive Care Medicine, Royal United Hospitals, Bath, UK; University of Bristol, Bristol, UK.
Department of Anesthesiology and Perioperative Medicine, School of Medicine, Oregon Health and Science University, Portland, OR, USA.
Br J Anaesth. 2022 Oct;129(4):474-477. doi: 10.1016/j.bja.2022.07.038. Epub 2022 Sep 3.
Recent evidence, highlighted in this editorial, creates a strong argument for universal use of videolaryngoscopy in anaesthesia to improve efficiency and safety of tracheal intubation. In a recent study published in the British Journal of Anaesthesia, the authors implemented widespread (66%) use of videolaryngoscopy as first choice in one hospital and compared this with a control hospital, in which this was not implemented. Increased videolaryngoscopy use was associated with a significant fall in the rate of difficult airways, use of airway rescue techniques, and operator-reported difficulty, whilst in the control hospitals no such changes were seen. Locations outside the operating theatre might also benefit from universal laryngoscopy, but the evidence base is less robust, most notably in pre-hospital emergency medicine. The extent to which variation in results in different locations is attributable to different patient factors or organisational and operator factors is considered.
最近的证据在这篇社论中突出强调，普遍使用视频喉镜可提高麻醉中气管插管的效率和安全性，这一观点具有很强的说服力。在最近发表于《英国麻醉学杂志》的一项研究中，作者在一家医院广泛（66%）使用视频喉镜作为首选，并与未实施该方法的对照组医院进行了比较。增加视频喉镜的使用与困难气道发生率、气道救援技术使用以及操作人员报告的困难程度显著降低有关，而对照组医院则未观察到这些变化。手术室外的场所也可能受益于普遍使用喉镜，但证据基础不太可靠，在院前急救医学中尤为如此。本文还考虑了不同地点结果的差异在多大程度上归因于不同的患者因素、组织因素和操作人员因素。
