在严重受限制的口腔开口患者的glidescope视频喉镜-A试点研究研究
Zohal Popal1, André Dankert1, Philip Hilz1
1Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany.
Journal of clinical medicine
|August 12, 2023
概括
新的GlideScope视频laryngoscopes对于口腔开口有限的患者的气管管道输入是安全的和可行的. 这项研究显示了高的成功率,证明了它在具有挑战性的气道病例中的实用性.
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:
- 视频喉腔镜对于输管术至关重要,但口腔开口小于3厘米会带来挑战.
- 新型低调的GlideScope SpectrumTM视频喉腔镜在限制口腔开口的患者中的有效性尚未得到充分证实.
研究的目的:
- 评估使用GlideScopeTM视频喉科镜进行气管管道输入的可行性和安全性,用于严重限制口腔开口 (1.0-3.0厘米) 的成年人.
主要方法:
- 一项前性可行性研究,涉及30名接受耳鼻喉或大面部手术的成年患者,切口间的间隙在1.0至3.0厘米之间.
- 排除标准包括具有吸收或快速脱的高风险的患者.
主要成果:
- 平均口腔口径为2.2厘米; 90%的第一次试验和100%的整体输管成功率.
- 在所有患者中都获得了优秀的喉视图 (1级或2a级). 在口腔开口小于2.0厘米的患者中,输管安置更具挑战性.
- 相比于口腔道,鼻道的输管时间较长.
结论:
- 格莱德斯科普TM视频鼻镜是一种可行且安全的选择,可用于气管管道输入,在患者的口腔开口受限,只要考虑到特定的限制.
- 该设备在具有挑战性的气道场景中促进可视化和输管.
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