在预期的困难呼吸道中,Vie Scope®与视频喉科镜相比:一个随机对照试验
Martin Petzoldt1, Catharina Grün2, Viktor A Wünsch1
1Department of Anesthesiology, Center for Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
概括
与视频喉腔镜相比,Vie Scope在预期呼吸道困难的患者中显示出非劣质的喉可视化. 然而,使用Vie Scope的气管输管时间显著更长,这对气道管理构成了潜在的挑战.
科学领域:
- 麻醉学 麻醉学
- 航空航道管理的管理.
- 医疗器械 医疗器械
背景情况:
- 管理预期呼吸道困难的患者存在持续的临床挑战.
- 喉视觉化和气管管道输入是呼吸道管理中的关键步骤.
- 新的喉腔镜正在不断开发,以改善可视化和输管成功.
研究的目的:
- 为了评估Vie Scope的喉可视化能力,Vie Scope是一款新的直刃发光喉镜.
- 为了将Vie Scope与标准的Macintosh视频喉科镜进行比较,用于预期呼吸道困难的患者的布吉辅助输管治疗.
- 评估二次结果,包括成功输管时间和第一次尝试成功率.
主要方法:
- 进行了一项前性,随机控制的非劣等性试验.
- 接受预期呼吸道困难的选择性手术的患者被随机分配到Vie Scope或Macintosh视频喉科镜 (C-MAC®) 中.
- 主要结局是用百分比喉开口 (POGO) 尺度评估的喉可视化;次要结局包括输管时间和成功率.
主要成果:
- 视频视野镜对于喉可视化的视频laryngoscopy没有劣势 (平均POGO分数:71%对64%).
- 与视频喉科镜 (51秒) 相比,Vie Scope (125秒) 的成功输入管 (TTI) 时间明显更长.
- 第一次尝试和整体成功率在各组之间相似 (分别为76%和93%),Vie Scope组的两个食道输管是由于布吉错位而造成的.
结论:
- 视频视野镜在预期呼吸道困难的患者中提供了与标准视频喉科镜相比较的喉可视化.
- 尽管可视化类似,但Vie Scope与气管管道输液的时间显著增加有关.
- 可能需要进一步的研究来优化技术并减少Vie Scope的输管时间.
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