Airtraq喉镜联合弹性橡胶引导管气管插管的有效性研究  

Study on the effectiveness of Airtraq laryngoscope combined with a Bougie for tracheal intubation

作　　者：赵倩[1] 王晓亮[1] 鲍红光[1] 

机构地区：[1]南京医科大学附属南京第一医院南京市第一医院麻醉科,210006

出　　处：《中国医师进修杂志》2012年第9期13-15,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的利用模拟困难气道来对比评估联合应用Airtraq喉镜和弹性橡胶引导管气管插管与单独应用Airtraq喉镜气管插管的有效性。方法选择4位麻醉医师及4位临床住院规范化培养医师作为试验者。在ALS人体模型气管中插入模拟仿真器，用来模仿Cormack．Lehane分级的1、2a、2b、3、4级以及颈项固定。结果两种技术插管成功率比较差异无统计学意义（P〉0．05）。在Cormack-Lehane分级1、2a级的简单气道模型中，单独应用Airtraq喉镜插管成功所需时间[（14．3±1．3）、（17．1±2．9）s]明显短于联合应用Airtraq喉镜和弹性橡胶引导管[（26．6±3．8）、（36．4±3．6）S]，差异有统计学意义（P〈0．01）；然而在Cormack-Lehane分级2b、3、4级的困难气道模型中，联合应用Airtraq喉镜和弹性橡胶引导管插管成功所需时间[（35．4±4．3）、（52．3±5．0）、（40．4±3．8）s]则明显短于单独应用Airtraq喉镜[（74．5±6．5）、（116．3±9．8）、（53．0±6．1）s]，差异有统计学意义（p〈0．05）。结论与单独应用Airtraq喉镜气管插管相比，联合应用Airtraq喉镜和弹性橡胶引导管能够在模拟的困难气道中进行快速插管。Objective To compare and evaluate the effectiveness of Airtraq laryngoscope combined with a Bougie and Airtraq laryngoscope alone for tracheal intubation in simulated difficult airway. Methods Four anesthetists and 4 clinical physicians of standardized training were enrolled in the study. Theparticipants intubated the trachea of the ALS simulator manikin in 5 tongue edema scenarios simulating modified Cormack-Lehane grade 1, 2a, 2b, 3, and 4 views and 1 cervical immobilization scenario. Results No significant difference in the rate of successful intubation was detected between two techniques（P 〉 0.05 ）.In Cormack-Lehane grade 1, 2a views, the duration of successful intubation in Airtraq laryngoscope alone [ （ 14.3 ± 1.3）, （ 17.1± 2.9） s ] was shorter than that in Airtraq laryngoscope combined with a Bougie [ （26.6±3.8 ）, （ 36.4±3.6 ） s ] with significant difference （P 〈 0.01 ）. Cormack-Lehane grade 2b, 3,4 views,the duration of successful intubafion in Airtraq laryngoscope alone [ （74.5±6.5）, （116.3 ±9.8）, （53.0 ±6.1 ）s ] was longer than that in Airtraq laryngoscope combined with a Bougie [ （35.4 ±4.3 ）, （52.3 ±5.0）,（40.4 ±3.8） s] with significant difference （P〈 0.05）. Conclusion Airtraq laryngoscope combined with a Bougie can be quickly intubated in simulated difficult airway compared with Airtraq laryngoscope alone.

关 键 词：导管插入术 外周 AIRTRAQ喉镜 弹性橡胶引导管 培养医师 

分 类 号：R614[医药卫生—麻醉学]