帝视内镜在困难气道患者经口气管插管中的应用  

Applications of Discopo in patients with difficult airway intubation

作　　者：徐中萍[1] 王小明[1] 

机构地区：[1]南京中医药大学附属苏州市中医医院麻醉科,江苏苏州215002

出　　处：《生物医学工程与临床》2014年第3期264-266,共3页Biomedical Engineering and Clinical Medicine

摘　　要：目的研究帝视内镜引导下气管插管在困难气道中的应用效果。方法选择拟行全身麻醉手术治疗患者25例．其中男性16例，女性9例；年龄17－76岁，体质量45～85kg。美国麻醉医师协会（ASA）Ⅰ-Ⅱ级。采用静脉诱导麻醉，应用帝视内镜进行经口气管插管，观察气管插管时血流动力学波动情况、插管时间、插管成功率及插管后相关并发症。结果22例患者1次插管成功，3例通过调整镜身弯曲度2次插管成功，成功率为100％．插管时间（29．5±6．8）s。术后患者未见明显的插管相关并发症：所有患者在气管插管过程中平均动脉压（MAP））及心率（HR）无明显波动。结论在困难气道中使用帝视内镜引导下绎口气管插管可提高成功率减少插管后相关并发痒．Objective To study the application results of Discopo in patients with difficult airway intubation. Methods A total of 25 patients with proposed general anesthesia surgery were enrolled, which included 16 males and 9 females; aged 17- 76 years, and body weight of 45 - 85 kg, the grade of American Society of Anesthesiologists （ASA） I - II . The intravenous induction of anesthesia and Discopo were performed intubation. The hemodynamic fluctuations, intubation time, intubation success rate and complications after intubation were observed. Results Twenty-two patients intubated successful at first time, 3 cases intubated successful at second time by adjusting curvature of the lens bah＇el, the success rate was 100 %, intubation time was （29.5 ±6.8） seconds. There was no significant postoperative intubation-related complications occurred, and mean arterial pressure（MAP） and heart rate（HR） of all patients without significant fluctuations in intubation. Conclusion It is demonstrated that Discopo could increase the success rate and reduce catheter-related complications in difficult airways,

关 键 词：帝视内镜 气管插管 困难气道 

分 类 号：R614[医药卫生—麻醉学]