在气道管理中临床首选的视频喉科镜:最新的系统性审查
Vikram Nedunchezhian1, Ishvar Nedunchezhian2, André Van Zundert1
1Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, The University of Queensland, Brisbane, QLD 4029, Australia.
Healthcare (Basel, Switzerland)
|September 9, 2023
概括
临床医生更喜欢CMAC和GlideScope用于非道视频喉科镜 (VL) 和Pentax AWS用于道VL. 建议进行进一步的研究,比较流行的VL和刀片类型.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 航空航道管理的管理.
背景情况:
- 视频喉科镜 (VLs) 与直接喉科镜 (DL) 相比,提供了安全优势.
- 2016年之前的研究确定了首选的VLs.
- 需要更新7年以评估临床医生偏好和VL技术的变化.
研究的目的:
- 更新2016年关于临床医生首选视频喉科镜的研究结果.
- 为了确定最喜欢的非道和道VL设备.
- 为了突出过去七年来VL偏好的任何转变.
主要方法:
- 在Medline,Embase,Web of Science和Cochrane图书馆的系统文献综述.
- 搜索了2016年9月至2023年1月间发表的文章.
- 对各种视频喉科镜模型的临床医生偏好的综合发现.
主要成果:
- CMAC仍然是最受欢迎的非通道视频喉科镜,GlideScope也非常受欢迎.
- 潘塔克斯AWS被确定为临床上最喜欢的道视频喉科镜.
- 结果与2016年的结果一致,表明对某些VLs的稳定偏好.
结论:
- CMAC和Pentax AWS仍然是分别为非道和道VL的领先选择.
- 对于使用最多的VLs,只有极少的比较研究存在.
- 未来的研究应该直接比较领先的VL和刀片设计,以获得更好的临床见解.
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