[1]李荣钢 陈 锋 高 飞 李兴财.UEscope可视硬质喉镜在急诊颈椎手术气管插管中的应用[J].福建医药杂志,2019,41(03):17-20.
　CHEN Feng,GAO Fei,LI Xingchai..Application of UEscope visible hard laryngoscope in emergency cervical patients who received tracheal intubation general anesthesiaLI Ronggang,[J].FUJIAN MEDICAL JOURNAL,2019,41(03):17-20.
点击复制

UEscope可视硬质喉镜在急诊颈椎手术气管插管中的应用()
分享到：

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期数:
2019年03期
页码:
17-20
栏目:
临床研究
出版日期:
2019-02-20

文章信息/Info

Title:
Application of UEscope visible hard laryngoscope in emergency cervical patients who received tracheal intubation general anesthesiaLI Ronggang,
文章编号:
1002-2600(2019)03-0017-04
作者:
李荣钢 陈 锋 高 飞 李兴 财
福建医科大学省立临床医学院 福建省急救中心麻醉科(福州 350001)
Author(s):
CHEN Feng;  GAO Fei; LI Xingchai.
Department of Anesthesiology,Fujian Emergency Medical Center,Provincial Clinical Medical College of Fujian Medical University,Fuzhou,Fujian 350001,China
关键词:
UEscope可视硬质喉镜;  气管插管
Keywords:
UEscope visible hard laryngoscope;  tracheal intubation
分类号:
R614
文献标志码:
B
摘要:
目的 观察UEscope可视硬质喉镜在急诊颈椎患者全麻气管插管中的应用情况。方法 对ASAⅠ～Ⅱ级的急诊行颈椎减压内固定术的颈椎病患者26例,根据使用UEscope可视硬质喉镜插 管时是否提下颌辅助暴露口腔结构随机分为两组各13例,Ⅰ组为提下颌组,Ⅱ组为不提下颌组。 监测和观测患者的体质量、Mallampati和ASA分级。记录麻醉诱导前、气管插管前、插管后、插 管后1 min患者的血压(SBP)、心率(HR)和UEscope可视硬质喉镜从置入口腔到完成气管插管所用 的时间。结果 Ⅰ组和Ⅱ组插管时间比较差异有统计学意义(P<0.05)。Ⅰ组和Ⅱ组的 血压和心率在麻醉诱导前、气管插管前、气管插管后、插管后1 min比较的差异均无统计学意义 (P>0.05)。结论 两组患者均能在后颈托固定保持头颈部不动情况下完成气管插管。 使用UEscope可视硬质喉镜气管插管的不同暴露方法对于血压和心率影响关系不大。提下颌法的 插管所用时间更短。
Abstract:
Objective To observe the application of UEscope visible hard laryngoscope in cervical patients who received tracheal intubation general anesthesia.Methods Twenty-six cervical spondylosis patients with ASAⅠ-Ⅱ underwent emergency cervical decompression and internal fixation operation were randomly divided into two groups(13 cases in each group)according to whether the jaw was lifted in order to expose the oral structure when using UEscope visible hard laryngoscope to intubate.Group I lifted the jaw when intubating while group Ⅱ did not need to lift the jaw.Blood pressure(BP)and heart rate(HR)were recorded before induction of anesthesia, before tracheal intubation, immediately after intubation, and one minute after intubation.The time taken by the UEscope from moving into the mouth to the completion of the tracheal intubation was also recorded.Results The time for intubation between two groups had significant difference (P<0.05).Blood pressure and heart rate before induction of anesthesia, before tracheal intubation, immediately after intubation, and one minute after intubation between two groups had no significant difference (P>0.05).Conclusion The results of our study emphasise the fact that guided intubation is a visual technique and both groups can complete tracheal intubation under the condition that the cervical bracket is fixed to remain the head and neck stationary.Group I results in less time group Ⅱ to complete the intubation.There is no difference in the hemodynamic response to endotracheal intubation using either jaw lift manoeuvre or without jaw lift.

参考文献/References:

[1] 金士翱,林桂芳.临床麻醉学[M].北京:中国医药科技出版社,1992:19-20.
[2] Niforopoulou P, Pantazopoulos I, Demestiha T, et al.Video- laryngoscopes in the adult airway management:a topical review of the literature[J].Acta anaesthesiologica Scandinavica,2010,54(9):1050-1061.
[3] 李荣钢,郑晓春,陈江湖,等.Lightwand 光棒在急救插管中的应用[J].创伤与急诊电子 杂志,2014,2(1):12-14.
[4] Dimitriou V,Voyagis G S,Grosomanidis V,et al.Feasibility of flexible lightwand-guided tracheal intubation with the intubating laryngeal mask during out-of-hospital cardiopulmonary resuscitation by an emergency physician[J].European Journal of Anaesthesiology, 2006,23(1):4.
[5] 邓小明,姚尚荣,曾因明.2015麻醉学新进展[M].北京:人民卫生出版社,2015:346-352.
[6] Nishikawa K,Omote K,Kawana S,et al.A comparison of hemodynamic changes after endotracheal intubation by using the lightwand device and the laryngoscope in normotensive and hypertensive patients[J].Anesthesia & Analgesia,2000,90 (5):1203-1207.

备注/Memo

备注/Memo:
基金项目; 国家临床重点专科建设项目(2012年急诊医学科)
更新日期/Last Update: 2019-02-20