与其他常规气道内管道输入管道技术相比:在没有先前经验的顾问中进行的模拟研究
Simone Messina1,2, Federica Merola1, Cristina Santonocito1
1Department of Anaesthesia and Intensive Care, Policlinico-San Marco University Hospital, Via S. Sofia n 78, 95123 Catania, Italy.
Journal of clinical medicine
|February 10, 2024
概括
直接喉腔镜 (DL) 和视频喉腔镜 (VLS) 对于内内输管 (ETI) 比较新的设备更快. 然而,在多次尝试后,ProVu的接视频样式显示出与DL和VLS相比的有希望的成功率.
科学领域:
- 麻醉学 麻醉学
- 医疗模拟 医疗模拟
- 航空航道管理的管理.
背景情况:
- 模拟对于掌握新的气道管理设备和技术至关重要.
- 内腔管道输入 (ETI) 通常使用直接喉腔镜 (DL) 或视频喉腔镜 (VLS) 进行.
- 像结合喉腔-支气管学输入管 (CLBI) 和关节视频风格器 (ProVu) 这样的新设备提供了替代的ETI方法.
研究的目的:
- 在模拟的正常气道场景中,比较DL,VLS (Glidescope和McGrath),CLBI和ProVu的成功率 (SR) 和纠正的输入时间 (cTTI).
- 在经验丰富的顾问中评估这些设备的性能,这些顾问之前没有使用ProVu设备的经验.
主要方法:
- 一个单一中心的观察性横截面研究,涉及42名顾问.
- 在模拟的正常气道中,DL,VLS-Glidescope,VLS-McGrath,CLBI和ProVu的比较.
- 每个设备最多可以进行三次尝试,每次尝试最长60秒.
- 测量成功率 (SR) 和校正的输入时间 (cTTI).
主要成果:
- 直接喉腔镜 (DL) 比所有其他设备显著更快 (cTTI).
- 视频喉腔镜 (VLS) 设备比CLBI和ProVu更快,VLS设备之间没有显著差异.
- 虽然DL和VLS的成功率在第一次尝试中较高,但ProVu的成功率在第三次尝试时与DL/VLS相美,并且优于CLBI.
结论:
- 在模拟的正常气道中,DL是ETI的最快方法.
- 在多次尝试后,ProVu 发音视频风格显示了令人鼓舞的成功率,与DL和VLS相比,特别是在没有先前经验的临床医生中.
- 需要进一步的研究来探索ProVu设备在各种气道场景中的潜力.
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