Department of Anesthesiology, Anesthesiology Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Department of Anesthesiology, National Regional Medical Center, Binhai Campus of The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
PLoS One. 2024 Oct 22;19(10):e0309516. doi: 10.1371/journal.pone.0309516. eCollection 2024.
To assess the efficacy and safety of visual rigid laryngoscopy and video laryngoscopy and to provide clinical information for developing a more suitable intubation tool for elderly patients.
In 75 consecutive elderly patients undergoing elective surgery in a single institution, tracheal intubation was randomly performed by 2 experienced anaesthesiologists using visual rigid laryngoscopy (Group I, n = 38) or video laryngoscopy (Group II, n = 37). The primary outcome was intubation time. Secondary outcomes were the first-attempt success rate of tracheal intubation, haemodynamic responses at 1, 3, and 5 min after intubation and the incidence of postoperative airway complications, including immediate complications and postoperative complaints.
The intubation times were 35.0 (30.0-41.5) s and 42.5 (38.0-51.3) s in Groups I and II, respectively (P < 0.001). The difference in direct complications between the two groups was statistically significant (P < 0.05). In contrast, there was no significant difference between the two groups regarding the follow-up of the main complaint 30 min and 24 h after tracheal extubation (P > 0.05). There was no difference in the intubation success rate between the 2 groups (P > 0.05). The haemodynamic responses at 1, 3, and 5 min after intubation were not significantly different (P > 0.05).
Compared with that of video laryngoscopy, the intubation time of visual rigid laryngoscopy in elderly patients was shorter. At the same time, visual rigid laryngoscopy reduced the incidence of immediate complications. However, during endotracheal intubation, there was no significant difference in haemodynamics between the two groups.
ChiCTR2100054174.
评估可视硬喉镜和视频喉镜的疗效和安全性，为开发更适合老年患者的插管工具提供临床信息。
在一家单机构的 75 名连续接受择期手术的老年患者中，由 2 名经验丰富的麻醉师使用可视硬喉镜（I 组，n=38）或视频喉镜（II 组，n=37）随机进行气管插管。主要结局是插管时间。次要结局是气管插管的首次尝试成功率、插管后 1、3 和 5 分钟时的血流动力学反应以及术后气道并发症的发生率，包括即刻并发症和术后投诉。
I 组和 II 组的插管时间分别为 35.0（30.0-41.5）s 和 42.5（38.0-51.3）s（P<0.001）。两组之间直接并发症的差异具有统计学意义（P<0.05）。相比之下，两组在气管拔管后 30 分钟和 24 小时的主要投诉随访方面没有显著差异（P>0.05）。两组的插管成功率无差异（P>0.05）。插管后 1、3 和 5 分钟的血流动力学反应无显著差异（P>0.05）。
与视频喉镜相比，老年患者可视硬喉镜的插管时间更短。同时，可视硬喉镜降低了即刻并发症的发生率。然而，在气管内插管期间，两组之间的血流动力学没有显著差异。
ChiCTR2100054174。
