South Australian Ambulance Service MedSTAR, Adelaide, South Australia, Australia.
Pulse Anaesthetics, Adelaide, South Australia, Australia.
Emerg Med Australas. 2024 Jun;36(3):476-478. doi: 10.1111/1742-6723.14374. Epub 2024 Jan 30.
To describe initial experience with use of the Glidescope Go videolaryngoscope by an Australian neonatal pre-hospital and retrieval service.
We conducted a 31-month retrospective review of an airway registry for neonates intubated by MedSTAR Kids clinicians.
Twenty-two patients were intubated using the Glidescope Go, compared with 50 using direct laryngoscopy. First-pass success was 17/22 (77.3%) with the Glidescope Go and 38/50 (76%) with direct laryngoscopy. Complications occurred in 7/22 (32%) and 8/50 (16%), respectively.
On initial review of this practice change, videolaryngoscopy allows neonatal tracheal intubation with a comparable success rate to direct laryngoscopy in a pre-hospital and retrieval setting.
描述澳大利亚新生儿院前和转运服务机构使用 Glidescope Go 视频喉镜的初步经验。
我们对 MedSTAR Kids 临床医生为新生儿进行气管插管的气道登记处进行了为期 31 个月的回顾性研究。
22 例患者使用 Glidescope Go 进行插管,50 例患者使用直接喉镜进行插管。Glidescope Go 的一次插管成功率为 17/22(77.3%),直接喉镜为 38/50(76%)。Glidescope Go 组有 7/22(32%)例发生并发症,直接喉镜组有 8/50(16%)例发生并发症。
在对这一实践改变的初步审查中,视频喉镜允许在院前和转运环境中对新生儿进行气管插管,其成功率与直接喉镜相当。