Ellis D G, Stewart R D, Kaplan R M, Jakymec A, Freeman J A, Bleyaert A
Ann Emerg Med. 1986 Feb;15(2):138-42. doi: 10.1016/s0196-0644(86)80007-5.
The technique of guided orotracheal intubation using a lighted stylet depends on the transillumination of the soft tissues of the neck to direct the tube through the glottis and into the trachea. We conducted an operating room study of this technique, recording success rates and intubation times of 50 patients undergoing elective surgery. All patients were intubated successfully, 35 of 50 (70%) on the first attempt, 12 of 15 (80%) on the second attempt, and three of three (100%) on the third attempt. The average time for intubation was 37 seconds. A new design of the lighted stylet method resulted from the experience gained. Intubator training and experience influenced initial success rates, and the cadaver laboratory was of particular value in teaching the technique.
使用光棒引导经口气管插管技术依靠颈部软组织的透照来引导气管导管通过声门进入气管。我们在手术室对该技术进行了研究,记录了50例接受择期手术患者的成功率和插管时间。所有患者均成功插管,50例中的35例(70%)一次插管成功,15例中的12例(80%)二次插管成功,3例中的3例(100%)三次插管成功。平均插管时间为37秒。基于所获得的经验产生了光棒方法的一种新设计。插管者的培训和经验影响首次成功率,尸体实验室在该技术教学中具有特殊价值。