Takahata O, Kubota M, Mamiya K, Akama Y, Nozaka T, Matsumoto H, Ogawa H
Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical College, Japan.
Anesth Analg. 1997 Feb;84(2):419-21. doi: 10.1097/00000539-199702000-00033.
The displacement of the larynx in the three specific directions (a) posteriorly against the cervical vertebrae, (b) superiorly as possible, and (c) slightly laterally to the right have been reported and named the "BURP" maneuver. We evaluated the efficacy of the BURP maneuver in improving visualization of the larynx. Six hundred thirty patients without obvious malformation of the head and neck participated in this study. We divided the degree of visualization of the larynx using laryngoscopy into five grades and compared the visualization of the larynx using the BURP maneuver with that of laryngoscopy with and without simple laryngeal pressure ("Back"). The maneuver of Back and BURP significantly improved the laryngoscopic visualization from initial inspection. The BURP maneuver also significantly improved the visualization compared with the Back maneuver. We concluded that the BURP maneuver improved the visualization of the larynx more easily than simple back pressure on the larynx.
据报道，喉部在三个特定方向上的移位：(a) 向后抵住颈椎，(b) 尽可能向上，以及 (c) 略向右侧移位，被称为“BURP”手法。我们评估了 BURP 手法在改善喉部视野方面的效果。630 名无明显头颈部畸形的患者参与了本研究。我们将喉镜检查时喉部的视野程度分为五个等级，并比较了使用 BURP 手法与使用和不使用简单喉部按压（“Back”）的喉镜检查时喉部的视野情况。Back 手法和 BURP 手法均显著改善了初次检查时的喉镜视野。与 Back 手法相比，BURP 手法也显著改善了视野。我们得出结论，与单纯对喉部施加向后的压力相比，BURP 手法更容易改善喉部视野。
