Sacovlm™视频喉罩引导插管与Fastrach联合可弯曲支气管镜引导插管的比较——一项前瞻性研究。
Comparison of sacovlm™ video laryngeal mask-guided intubation and fastrach combined with flexible bronchoscopy-guided intubation -a prospective study.
作者信息
Ozguner Yusuf, Özağar Umut Can, Kına Seyyid Furkan, Sezgi Atakan, Altınsoy Savaş, Ergil Julide
机构信息
Department of Anesthesiology and Reanimation, Ankara Etlik City Hospital, Ankara, Turkey.
出版信息
BMC Anesthesiol. 2025 Jul 1;25(1):315. doi: 10.1186/s12871-025-03172-1.
BACKGROUND
Laryngeal masks (LMA) are significant in airway management. The newly developed video LMA (SaCoVLM™) allows direct visualization. In our study, we sought to compare the success of intubation between the SaCoVLM™ and the Fastrack LMA using fiberoptic bronchoscopy guidance. Our primary objective was total intubation time, while our secondary objective was postoperative complications.
METHODS
Patients (101) intubated with the SaCoVLM™ were categorized as Group V, while those intubated with the Fastrach LMA were categorized as Group F. LMA placement time, intubation time, total intubation time, and postoperative complications within the first 24 h were followed.
RESULTS
We found a shorter total intubation time with the SaCoVLM™. Moreover, patients in the Fastrack LMA experienced a higher incidence of sore throat and a greater frequency of blood-stained supraglottic airway devices (SADs). (p < 0.05).
CONCLUSIONS
We found that the SaCoVLM™ is an effective alternative to the Fastrack LMA in terms of LMA placement success and intubation success.
TRIAL REGISTRATION
NCT06121895.
背景
喉罩在气道管理中具有重要意义。新开发的可视喉罩（SaCoVLM™）可实现直接可视化。在我们的研究中，我们试图比较在纤维支气管镜引导下，SaCoVLM™与Fastrack喉罩的插管成功率。我们的主要目标是总插管时间，次要目标是术后并发症。
方法
使用SaCoVLM™进行插管的患者（101例）被归类为V组，而使用Fastrach喉罩进行插管的患者被归类为F组。记录喉罩置入时间、插管时间、总插管时间以及术后24小时内的并发症情况。
结果
我们发现使用SaCoVLM™时总插管时间更短。此外，使用Fastrack喉罩的患者喉咙疼痛发生率更高，声门上气道装置（SAD）出现血染的频率更高。（p < 0.05）。
结论
我们发现，在喉罩置入成功率和插管成功率方面，SaCoVLM™是Fastrack喉罩的有效替代品。
试验注册
NCT06121895。
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