使用C-MAC视频laryngoscope与直接laryngoscopy的第一次试验输管成功率在麻醉学住院人员中进行快速序列诱导:一个随机对照试验
Penumaka Lava Kumar1, Sakthirajan Panneerselvam2, Santhosh Arulprakasam2
1Anaesthesiology, All India Institute of Medical Sciences (AIIMS), Mangalagiri, IND.
Cureus
|March 4, 2026
概括
在快速序列诱导 (RSI) 过程中,新手麻醉医生使用C-MAC视频喉镜 (VL) 与Macintosh直接喉镜 (DL) 相比,在第一次尝试中取得了更高的成功率. 使用VL还导致了更好的视图和更少的并发症.
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:
- 直接喉腔镜 (DL) 是气管管道输入的一种标准技术.
- 视频喉腔镜 (VL) 提供了一个潜在的改善视图用于输管.
- 在快速序列诱导 (RSI) 期间,使用VL与DL的新手住院人员的表现需要评估.
研究的目的:
- 为了比较C-MAC视频喉科镜 (VL) 与Macintosh直接喉科镜 (DL) 在RSI期间新手麻醉患者的第一次试验输管成功率.
- 评估二次结果,包括输管时间,喉腔镜视图,需要辅助机动和不良事件发生率.
主要方法:
- 一项随机对照试验,涉及172名需要RSI的成年患者.
- 患者被分配到VL组 (n=86) 或DL组 (n=86).
- 麻醉学住院医生在进行输管术之前接受了标准化的培训.
主要成果:
- 与DL (67%) 相比,VL (93%) 的第一次试管成功率明显高于DL (67%) (P < 0.001).
- 高级喉镜视图 (科尔马克-莱汉等级1) 在VL (76%) 比DL (54%) (P < 0.001) 更频繁.
- 使用VL与显著减少辅助机动,减少状体压力释放和减少牙损伤有关.
结论:
- 在RSI期间,新手住院医生的视频喉腔镜 (VL) 显示出高于直接喉腔镜 (DL) 的首次尝试成功率和更好的可视化.
- VL与较少的必要辅助机动和气道受伤有关.
- 在没有预期的呼吸道困难的患者中,VL是住院执行的RSI的宝贵工具.
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