麦克格拉特 (McGRATH®MAC) 视频喉科镜叶片1在幼儿气管输管治疗中的有效性:一项随机对照临床研究
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Updated: Jul 26, 2025

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The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
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Katsuhide Masui1, Takashi Asai2, Tomoyuki Saito2
1Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya City, Saitama, 343-8555, Japan. km2525mk2525@gmail.com.
Journal of anesthesia
|June 13, 2023
概括
麦克格拉特MAC视频喉镜 (McGRATHMAC) 刀片1在幼儿中进行气管管道输入的时间比麦金托什喉镜刀片1要长得多. 这项研究突出了儿童患者视频鼻镜检查的潜在挑战.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 航空航道管理的管理.
- 医疗器械技术 医疗器械技术
背景情况:
- 视频喉科镜在儿科患者中可能具有可变的有效性.
- 与传统喉腔镜相比,McGrath®MAC视频喉科镜,尺寸1刀片在幼儿中的有效性尚未得到充分证实.
研究的目的:
- 为了比较麦克格拉斯MAC视频喉科镜 (尺寸1刀片) 与麦金托什喉科镜 (尺寸1刀片) 在24个月以下的儿童中进行气管输管的疗效.
- 为了评估使用这两种设备在指定的儿科年龄组中进行气管管道输入所需的时间.
主要方法:
- 一项随机研究,涉及38名24个月以下的儿童接受气管管道输液.
- 使用McGrath® MAC刀片1和Macintosh刀片1进行输管时间的比较.
- 在12名年龄在2至4岁的儿童中,使用尺寸2刀片进行了额外的比较.
主要成果:
- 在24个月以下的儿童中,与麦金托什刀片1 (中位数为27.4秒) 相比,麦格拉斯®MAC刀片1 (中位数为38.0秒) 的气管输管时间明显长 (p < 0.0001).
- 难以推进内管是使用麦格拉斯®MAC刀片1延长输管时间的主要原因.
- 在使用大小2刀片时,在老年儿童 (2-4岁) 中没有发现输管时间的显著差异.
结论:
- 在没有预测的呼吸道困难的幼儿中,麦克格拉特MAC视频喉科镜,尺寸1叶片,与麦金托什喉科镜,尺寸1叶片相比,导致气管输管时间显著更长.
- 这些发现表明,麦克格拉斯MAC视频喉科镜尺寸1刀片在婴儿常规儿科呼吸道管理中的潜在限制.
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