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使用新型用户可控气管内探条评估插管的有效性和便捷性：一项初步研究

Evaluating the Efficacy and Facility of Intubation Using a Novel, User-Controllable Endotracheal Stylet, a Pilot Study.

作者信息

Liu Amy, Ryan John F, Selmoni Francesca, Vahabzadeh-Hagh Andrew M

机构信息

University of California, San Diego School of Medicine San Diego California USA.

Department of Otolaryngology University of California, San Diego Health San Diego California USA.

出版信息

Laryngoscope Investig Otolaryngol. 2025 May 9;10(3):e70114. doi: 10.1002/lio2.70114. eCollection 2025 Jun.

DOI:10.1002/lio2.70114
PMID:40352864
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12063478/
Abstract

OBJECTIVE

The purpose of this study was to compare the efficacy and user experience (UX) of a pre-formed rigid stylet commonly used in endotracheal intubations to a novel, articulating (user-controlled) stylet.

METHODS

The participants were a mixture of undergraduates, medical students, residents, and attendings who attempted to intubate cadavers using both traditional and novel stylets via video laryngoscopy, after which they were surveyed using the NASA Task Load Index (NASA-TLX) form.

RESULTS

We found the novel stylet to have improved UX, scoring lower in physical demand, effort, temporal demand, and frustration compared to the traditional stylet on the NASA-TLX. The traditional stylet scored lower on mental effort. There was no difference in how participants viewed their performance.

CONCLUSION

There was no difference in how participants viewed their performance. This preclinical study for this novel stylet showed promising results in terms of ease of use.

LEVEL OF EVIDENCE

摘要

目的

本研究旨在比较气管插管中常用的预制刚性管芯与新型可弯曲（用户控制）管芯的有效性和用户体验（UX）。

方法

参与者包括本科生、医学生、住院医师和主治医师，他们通过视频喉镜使用传统和新型管芯尝试对尸体进行插管，之后使用美国国家航空航天局任务负荷指数（NASA-TLX）表格对他们进行调查。

结果

我们发现新型管芯的用户体验有所改善，在NASA-TLX上，与传统管芯相比，其在体力需求、努力程度、时间需求和挫败感方面得分更低。传统管芯在脑力努力方面得分更低。参与者对自己表现的看法没有差异。

结论

参与者对自己表现的看法没有差异。这项针对新型管芯的临床前研究在易用性方面显示出了有前景的结果。

证据水平

3级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/8d7638cebd6e/LIO2-10-e70114-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/7e83e89ccfc5/LIO2-10-e70114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/ecda4170df17/LIO2-10-e70114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/7c3e08121390/LIO2-10-e70114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/8d7638cebd6e/LIO2-10-e70114-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/7e83e89ccfc5/LIO2-10-e70114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/ecda4170df17/LIO2-10-e70114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/7c3e08121390/LIO2-10-e70114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fffe/12063478/8d7638cebd6e/LIO2-10-e70114-g005.jpg

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本文引用的文献

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J Emerg Med. 2023 Mar;64(3):315-320. doi: 10.1016/j.jemermed.2023.01.007. Epub 2023 Mar 14.
2
Comparison between GlideRite® rigid stylet and Parker Flex-It™ stylet to facilitate GlideScope intubation in simulated difficult intubation: a randomized controlled study.GlideRite® 硬探条与Parker Flex-It™ 探条在模拟困难气道插管中辅助GlideScope喉镜插管的比较：一项随机对照研究。
Anesth Pain Med (Seoul). 2022 Jan;17(1):104-111. doi: 10.17085/apm.21095. Epub 2021 Dec 30.
3
Efficacy of stylet angulation at the holding position during tracheal intubation with a videolaryngoscope: a randomized controlled trial.
可视喉镜引导气管插管时在把持位调整管芯角度的效果：一项随机对照试验。
Sci Rep. 2021 Oct 20;11(1):20713. doi: 10.1038/s41598-021-00115-x.
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Parker Flex-It stylet is as effective as GlideRite Rigid stylet for orotracheal intubation by Glidescope.帕克Flex-It探条在使用Glidescope进行经口气管插管时与GlideRite硬质探条效果相同。
Saudi Med J. 2015 Dec;36(12):1446-52. doi: 10.15537/smj.2015.12.12432.
5
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Point: Should an anesthesiologist be the specialist of choice in managing the difficult airway in the ICU? Yes.观点：麻醉医生应该是重症监护病房中处理困难气道的首选专家吗？是的。
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The Flex-It stylet is less effective than a malleable stylet for orotracheal intubation using the GlideScope.对于使用GlideScope进行经口气管插管，Flex-It探条不如可塑探条有效。
Anesth Analg. 2009 Dec;109(6):1856-9. doi: 10.1213/ANE.0b013e3181bc116a.
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