Andersen K H, Schultz-Lebahn T
Department of Anesthesiology, Hvidovre University Hospital, Hvidovre, Denmark.
Acta Anaesthesiol Scand. 1994 Aug;38(6):580-2. doi: 10.1111/j.1399-6576.1994.tb03955.x.
Prompt detection of oesophageal intubation is a primary concern in anaesthetic practice. This blind, randomised study evaluates three widely used tests of intubation. Forty patients had both their trachea and oesophagus intubated, each patient was studied twice. Auscultation of the epigastrium, right and left axilla is more reliable than auscultation of the chest, and the anaesthetist's feeling when he squeezes the bag. P = 0.001 and P = 0.048, respectively. The tests were carried out after gastric distension with gas had occurred. We conclude that auscultation of epigastrium, right and left axilla, are recommended.
在麻醉实践中，及时发现食管插管是首要关注点。这项盲法随机研究评估了三种广泛使用的插管检测方法。40例患者的气管和食管均被插管，每位患者接受了两次研究。听诊上腹部、左右腋窝比听诊胸部以及麻醉医生挤压呼吸囊时的感觉更可靠，P值分别为0.001和0.048。这些检测是在胃出现气体扩张后进行的。我们得出结论，推荐听诊上腹部、左右腋窝。
