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加强气道管理:麦金托什喉镜与TAS喉镜在困难插管中的比较研究

Enhancing Airway Management: A Comparative Study of Macintosh and TAS Scope in Difficult Intubations.

作者信息

Venkatalakshmana Sanjana Kota, Kaaviya R

机构信息

Department of Anesthesiology, Saveetha Medical College Hospital Thandalam, Chennai, Tamil Nadu, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2205-S2207. doi: 10.4103/jpbs.jpbs_115_24. Epub 2024 May 13.

DOI:10.4103/jpbs.jpbs_115_24
PMID:39346334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426699/
Abstract

BACKGROUND

Intubation is essential in anesthesia for patient safety, requiring accurate techniques for difficult airways. Achieving first-attempt success is crucial. This study evaluates traditional laryngoscopes, such as the Macintosh, versus advanced tools like the TAS Scope.

MATERIAL AND METHODS

This observational study, conducted from April to August 2023 at Saveetha Medical College and Hospital, involved 60 patients aged 18-65. The two groups of Macintosh laryngoscope and TAS Scope 30 each are based on airway difficulty predictors and patient characteristics.

RESULTS

The TAS Scope group had a higher first-attempt success rate and easier intubation experiences according to Likert scale ratings.

CONCLUSION

The study underscores the benefits of using advanced devices like the TAS Scope for difficult airway management, showing higher success rates and ease of use. These findings support the adoption of new technologies to enhance patient safety and intubation effectiveness.

摘要

背景

在麻醉中,气管插管对于患者安全至关重要,对于困难气道需要准确的技术。首次尝试成功至关重要。本研究评估了传统喉镜,如麦金托什喉镜,与先进工具如TAS喉镜的效果。

材料与方法

这项观察性研究于2023年4月至8月在萨维塔医学院和医院进行,纳入了60名年龄在18至65岁之间的患者。根据气道困难预测指标和患者特征,将两组各30名患者分别使用麦金托什喉镜和TAS喉镜。

结果

根据李克特量表评分,TAS喉镜组的首次尝试成功率更高,插管体验更轻松。

结论

该研究强调了使用TAS喉镜等先进设备进行困难气道管理的益处,显示出更高的成功率和易用性。这些发现支持采用新技术以提高患者安全性和插管效果。

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本文引用的文献

1
A Comparison of the Effectiveness of Videolaryngoscopy and Macintosh Laryngoscopy in Intubation Attempts on Adult Patients.视频喉镜与麦金托什喉镜在成年患者插管尝试中的有效性比较
Turk J Anaesthesiol Reanim. 2022 Oct;50(5):352-357. doi: 10.5152/TJAR.2022.21367.
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2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway.2022 年美国麻醉医师学会困难气道管理实践指南。
Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002.
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Comparison of the novel VieScope with conventional and video laryngoscope in a difficult airway scenario - a randomized, controlled simulation trial.新型 VieScope 与传统喉镜和视频喉镜在困难气道场景中的比较 - 一项随机、对照模拟试验。
BMC Emerg Med. 2021 Jul 30;21(1):90. doi: 10.1186/s12873-021-00484-6.
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Early clinical experience with The Anesthetist Society (TAS) scope (an indigenous videolaryngoscope).
Indian J Anaesth. 2019 Jun;63(6):494-496. doi: 10.4103/ija.IJA_812_18.
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[Comparison of King Vision video laryngoscope and Macintosh laryngoscope: a prospective randomized controlled clinical trial].[可视喉镜与麦金托什喉镜的比较:一项前瞻性随机对照临床试验]
Braz J Anesthesiol. 2018 Sep-Oct;68(5):499-506. doi: 10.1016/j.bjan.2018.04.003. Epub 2018 Jul 10.
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Anatomic and physiopathologic changes affecting the airway of the elderly patient: implications for geriatric-focused airway management.影响老年患者气道的解剖学和病理生理学变化:对以老年患者为重点的气道管理的启示。
Clin Interv Aging. 2015 Dec 4;10:1925-34. doi: 10.2147/CIA.S93796. eCollection 2015.
7
First-Attempt Intubation Success of Video Laryngoscopy in Patients with Anticipated Difficult Direct Laryngoscopy: A Multicenter Randomized Controlled Trial Comparing the C-MAC D-Blade Versus the GlideScope in a Mixed Provider and Diverse Patient Population.预期直接喉镜检查困难患者首次尝试视频喉镜插管成功率:一项多中心随机对照试验,比较C-MAC D型镜片与GlideScope在混合医疗人员和多样化患者群体中的应用
Anesth Analg. 2016 Mar;122(3):740-750. doi: 10.1213/ANE.0000000000001084.
8
Comparison of Macintosh laryngoscope and C-MAC video laryngoscope for intubation in lateral position.麦金托什喉镜与C-MAC视频喉镜用于侧卧位插管的比较。
J Anaesthesiol Clin Pharmacol. 2015 Apr-Jun;31(2):226-9. doi: 10.4103/0970-9185.155221.
9
GlideScope Use improves intubation success rates: an observational study using propensity score matching.使用GlideScope可提高插管成功率:一项采用倾向评分匹配的观察性研究。
BMC Anesthesiol. 2014 Nov 5;14:101. doi: 10.1186/1471-2253-14-101. eCollection 2014.
10
A comparison of McCoy, TruView, and Macintosh laryngoscopes for tracheal intubation in patients with immobilized cervical spine.麦考伊喉镜、TruView喉镜和麦金托什喉镜用于颈椎固定患者气管插管的比较。
Saudi J Anaesth. 2014 Apr;8(2):188-92. doi: 10.4103/1658-354X.130705.