通过使用Airtraq光学喉镜-一项随机试验,比较中立和嗅探位置,以方便内内输管使用Airtraq光学喉镜-一个随机试验
Mamta Bhardwaj1, Priya1, Rashmi1
1Department of Anesthesia and Critical Care, Pt. B. D. Sharma PGIMS, Rohtak, Haryana, India.
Journal of anaesthesiology, clinical pharmacology
|January 6, 2025
概括
在Airtraq视频喉腔镜中比较中性和嗅探头部位置时,输管容易度没有显著差异. 这两个位置在使用该设备的气道管理程序中同样有效.
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:
- 嗅探位置是直接喉镜的标准,但视频喉镜的最佳头部定位,特别是像Airtraq这样的设备,并未得到很好的定义.
- 这项研究解决了确定视频喉腔镜手术最佳头部和部对齐的需求.
研究的目的:
- 用Airtraq光学喉镜来比较中性头部位置与嗅探位置,以方便内内管输入.
- 评估二次结果,包括喉腔镜时间,输管成功率和并发症率.
主要方法:
- 一项随机研究,涉及60名接受Airtraq输管治疗的患者.
- 患者被分配到中立姿势组 (NP) 或嗅探姿势组 (SP).
- 使用视觉模拟量表 (VAS) 和弗里曼特尔分数来评估输管的易度;二级结果包括POGO,尝试和并发症.
主要成果:
- 在中性 (VAS中位数32) 和嗅探 (VAS中位数28) 位置 (P = 0.37) 之间,在输管易度方面没有观察到统计学上显著的差异.
- 在NP组的80%和SP组的76.67% (P = 0.945) 中,弗里曼特尔分数表明容易输管 (F1).
- 二次结果,包括尝试数量,优化机动和并发症,在两组之间都是可比的.
结论:
- 中立头部位置和嗅探位置在使用Airtraq光学喉管镜时在输入管道的方便性上没有差异.
- 这两种头部位置都同样适用于Airtraq辅助的视频喉腔镜.
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