喉镜在成年人难以呼吸的通气管中成功输入管道的比较有效性:系统性审查
Mohammad Jamil G Alhemedi1, Bayan Saleh A Zabin1, Salim M J Bani Omar1
1Prince Al-Hssein Bin Abdullah II Academy for Civil Protection, Department of Paramedic, Al-Balqa Applied University, Al-Salt, Jordan.
概括
与直接喉镜相比,视频喉镜改善了内内管管道输入成功和难以呼吸道的可视化. 然而,需要更多高质量的研究来确定所有临床场景的最佳设备.
科学领域:
- 紧急医疗 紧急医疗
- 麻醉学 麻醉学
- 关键的护理关键的护理
背景情况:
- 内腔管道输入 (ETI) 是一种关键的紧急程序,用于在重症患者中保护呼吸道.
- 困难的空中通道在ETI期间带来了重大风险.
- 视频喉镜和直接喉镜 (DLs) 具有先进的输内管技术,但所有设备和设置的证据合成有限.
研究的目的:
- 综合现有证据,比较各种喉镜在内内输管中的性能.
- 评估喉镜在不同患者群体和临床环境中的有效性,特别是对于困难的呼吸道.
主要方法:
- 使用了一种叙事合成方法.
- 在PubMed,CINAHL和PsycINFO进行了全面的文献搜索,截至2025年6月23日.
- 评估了研究质量,并遵循PRISMA指南进行查和排除.
主要成果:
- 视频喉镜 (McGrath,GlideScope,C-MAC D-Blade) 显示出比DL更好的性能,包括更好的第一通成功,喉可视化,以及减少对机动的需求.
- 像Airtraq和Bonfils光纤镜这样的设备在特定环境中表现出实用性,但具有更高的操作员依赖性和学习曲线.
- 视频喉科镜在成功率,喉视觉化和成年人难以呼吸道的效率方面具有优势.
结论:
- 视频喉镜在管理成年人困难的呼吸道方面通常优于DL.
- 方法的异质性和可变的数据质量限制为单一最佳喉腔镜的最终建议.
- 高质量的临床研究对于确定各种困难的呼吸道场景中最有效的喉腔镜至关重要.
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