使用Macintosh和Airtraq喉镜评估椎脊柱运动的比较研究
Kiranpreet Kaur1, Rameez Raja1, Prashant Kumar1
1Department of Anaesthesiology and Critical Care, Rohtak, Haryana, India.
Journal of anaesthesiology, clinical pharmacology
|April 26, 2024
概括
与麦金托什喉镜相比,Airtraq设备在输管过程中会导致宫脊椎的运动较少. 这使得Airtraq成为潜在的宫脊椎损伤患者的潜在安全选择.
科学领域:
- 麻醉学 麻醉学
- 医疗器械 医疗器械
- 脊柱外科手术 脊柱外科手术
背景情况:
- 传统的麦金托什喉腔镜需要显著的椎曲和大西洋尾关节延伸.
- 在输管过程中优化呼吸道可视化至关重要,特别是在潜在的宫脊椎损伤的患者中.
研究的目的:
- 为了比较宫脊椎运动的程度在喉镜使用Macintosh喉镜与Airtraq设备.
- 评估每个设备对上椎脊柱对齐的影响.
主要方法:
- 一项涉及25名接受选择性手术的患者 (ASA等级I-II) 的研究.
- 在基线时,在Macintosh喉镜检查后,在Airtraq喉镜检查后,采取了侧侧椎X射线.
- 测量了椎椎 (椎-C4) 和大西洋椎距离 (AOD) 的角度.
主要成果:
- 与Airtraq设备相比,Macintosh喉镜导致宫脊椎运动显著增加,特别是在C2-C3和C0-C4.4处.
- 两次手术后,AOD的平均值显著下降,但在使用Airtraq (1.6毫米对1.13毫米) 后,这种降低不那么明显.
结论:
- 艾特拉克 (Airtraq) 促进了输管,减少了椎上部脊柱的运动.
- 由于Airtraq对宫对齐的影响较低,因此Airtraq可能是怀疑宫脊椎损伤的患者输入管的首选设备.
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