视频喉镜的临床进展  

Clinical Progress of Video Laryngoscopes

作　　者：李芳[1] 王烨[1] 邓晓明[1] 

机构地区：[1]中国医学科学院北京协和医学院整形外科医院麻醉科,北京100144

出　　处：《医学综述》2017年第3期544-548,共5页Medical Recapitulate

摘　　要：气管插管是麻醉中重要的一门技术,对于某些困难气道而言,普通喉镜可能无法完成气管插管,而视频喉镜的出现为此提供了解决方案。目前临床上已经有多种视频喉镜,大多数视频喉镜是在喉镜片嵌入微型芯片,插管时无需口、咽、喉三轴一线,同时使用高清晰度且微型摄像机进而提供了更好的声门视野,提高了首次插管的成功率,但是存在置管困难、口咽软组织损伤两大主要缺点。如何优化目前现有的视频喉镜的使用值得进一步研究,同时也期待更为高效、便捷、实用的新型视频喉镜的问世。Endotracheal intubation is an important technique for anesthesia. It is difficult for direct laryngoscope to solve some of the difficult＇airway. With the advent of video laryngoscopes such a situation can be handled. There are many kinds of video laryngoscopes now. Most of video laryngoscopes have a small video chip embedded in their blades to provide laryngeal views for intubation without alignment of 3 axes（ the oropharyngeal,pharyngeal and laryngeal） and a high-resolution micro camera which produces a good view of the glottis and improves first pass intubation success rates. However,two main problems encounter to many video larygscopes are endotracheal tube insertion and trauma to the oropharynx. How to optimize the use of existing video laryngoscopes deserves further study, and more efficient, more convenient, more useful new-style video laryngoscopes are also expected.

关 键 词：视频喉镜 气管插管 困难气道 

分 类 号：R614[医药卫生—麻醉学]