在预期容易呼吸道的成年人中比较Vie Scope和Macintosh喉镜:随机对照试验

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Updated: Sep 10, 2025

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Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

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Vasileios I Boviatsis¹, Alexios Triantopoulos¹, Abraham Pouliakis²

¹Department of Anesthesiology, General Hospital of Patras, Patras, GRC.

Cureus

|August 27, 2025

概括

与Vie Scope相比,Macintosh喉镜在预期容易呼吸道的患者中显示出更高的第一次试验和整体输液成功率以及更短的输液时间. 这两种设备的视觉效果是可比的.

科学领域:

麻醉学
医疗器械
气道管理

背景情况:

自20世纪中叶以来,麦金托什喉镜一直是内管道输入的标准.
COVID-19 疫情凸显了输管过程中个人防护设备的挑战.
这导致了Vie Scope作为替代设备的开发.

研究的目的:

为了比较Vie Scope与传统的Macintosh喉腔镜的疗效.
评估输管成功率和两种装置所需的时间.

主要方法:

一个单盲,随机的,潜在的优势试验.
264名患者预计有轻松的呼吸道被分为1:1的Vie Scope或Macintosh.
主要结局:第一次试管成功率和输管时间. 二次结果:整体成功和眼球视觉化 (科马克-莱汉尺度).

主要成果:

与Vie Scope相比,Macintosh喉镜的输入时间显著缩短 (平均差异为8. 60秒).
第一次试管成功率为Macintosh的100%,而Vie Scope的90.15% (p=0.0002).
总体上,Macintosh的成功率高于Vie Scope (93.94%,p=0.0041). 格洛蒂斯的可视化是类似的.

结论:

在成功率和输管时间方面,Macintosh喉镜优于Vie Scope.
两种喉镜之间没有观察到眼球视觉的显著差异.
这些发现支持继续使用Macintosh喉镜作为常规输入管的首选设备.

关键词:

呼吸道管理进行心肺复苏输内管道输入喉镜呼吸系统声带

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