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McGrath-5型视频喉镜引导气管导管不同前端塑形角度对肥胖患者经口气管插管的效果比较 被引量:3

Comparison of different front plastic angle with reinforced plastic endotracheal tube guidance by McGrath - 5. video laryngoscope for orotracheal intubation in obesity
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摘要 目的:比较 McGrath-5型视频喉镜引导加强型气管导管不同前端塑形角度对肥胖患者经口气管插管效果的影响。方法选取肥胖患者120例,ASA 分级Ⅰ~Ⅲ级,用 McGrath-5型视频喉镜插管,气管导管前端塑形一定角度,按数字表法随机将患者分为 A 组(导管60°)、B 组(导管75°)、C 组(导管90°)三组,每组40例。记录三组患者术前一般资料、Mallampati 分级、张口度、颈围、甲颏间距、寰枕关节伸展度等气道评估指标。观察三组患者喉镜暴露时 Cormark-Lehane(C /L)分级、一次气管插管成功率、一次插管时间、二次插管例数、插管后导管沾血例数、术后咽痛声嘶例数。结果三组术前一般资料、术前 Mallampati 分级、插管时点喉镜暴露 C /L 分级、术前张口度、颈围、甲颏间距、寰枕关节伸展度等气道评估指标差异均无统计学意义(均P >0.05)。一次导管对准声门成功率 A 组80.0%、B 组97.5%、C 组85.0%,B 组明显高于 A、C 两组(χ2=8.36,P <0.05);一次插管时间 A 组30(14~78)s、B 组21(10~65)s、C 组32(9~80)s,B 组一次插管时间明显短于 A、C 两组(Z =-4.67,P <0.05);三组二次插管全部成功,且 B 组气管导管沾血发生率(2.5%)明显低于 A 组(10%)和 C 组(15%)(χ2=7.45,P <0.05),但三组咽痛发生率差异无统计学意义(P >0.05)。结论McGrath-5型视频喉镜引导气管导管前端塑形75°时插管成功率最高、插管时间最短、并发症最少,适合在肥胖患者气管插管中应用。 Objective To compare the different front plastic angle with reinforced plastic endotracheal tube guidance by McGrath -5 video laryngoscope for orotracheal intubation in obesity.Methods 1 20 cases with obesity undergoing general anesthesia,ASA gradeⅠ -Ⅲ who planned intubation guidance by McGrath -5 video laryngo-scope,were randomly divided into three group according to different front plastic angle for endotracheal tube:group A (catheter 60°),group B(catheter 75°),C group(catheter 90°),40 cases in each group.General information and air-way evaluation indexes such as Mallampati classification,the degree of open mouth,neck circumference,thyromental distance,atlanto -occipital joint stretch degree preoperatively were recorded.C /L classification with laryngoscopic exposure,the successful rate of first intubation,time of first intubation,cases of second intubation,the incidence of blood stained catheter and postoperative sore throat and hoarseness were recorded also.Results There were no signif-icant differences of patients with general information and airway evaluating indexes such as Mallampati classification, the degree of open mouth,neck circumference,thyromental distance,atlanto -occipital joint stretch degree among three groups(P 〉0.05).The successful rate of catheter alignment glottal was 97.5% in group B,which was signifi-cantly higher than that of group A(80.0%)and group C(85.0%)(χ2 =8.36,P 〈0.05).The time of first intuba-tion was 21 (1 0 -65)s in group B,which was significantly shorter than that in group A[30(1 4 -78)s,Z =3.87,P 〈0.05]and group C[32(9 -80)s,Z =4.32,P 〈0.05].All patients in three groups had successful intubation firstly or secondly.The incidence rate of blood stained catheter in group B(2.5%)was significantly lower than that in group A(1 0%)and group C(1 5%,P 〈0.05 ),but there was no significant difference in postoperative sore throat and hoarseness among three groups(P 〉0.05).Conclusion McGrath -5 video laryngoscop
作者 严峰 李军 王浩杰 沈荣荣 费莉 Yah Feng , Li Jun , Wang Haojie , Shen Rongrong , Fei Li. (Department of Anesthesiology, the People & Hospital of Yuyao , Yuyao , Zhejiang 315400, China)
出处 《中国基层医药》 CAS 2015年第24期3705-3709,J0045共6页 Chinese Journal of Primary Medicine and Pharmacy
基金 浙江省余姚市科技计划项目(2014Y07)
关键词 喉镜检查 插管法 气管内 肥胖 Laryngoscopes Intubation, intratracheal Obesity
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参考文献15

  • 1Taylor AM, Peck M, Launcelott S, et al. The McGrath (~ Series 5 videolaryngoscope vs the macintosh laryngoscope : a randomised, controlled trial in patients with a simulated difficult airway ~ J ]. Anaesthesia,2013,68 (2) : 142-147. 被引量:1
  • 2王烨,王磊,邓晓明,温超,刘孝文,隋静湖,孙玉蕾.McGrath系列5型视频喉镜与直接喉镜插管的比较[J].中国内镜杂志,2012,18(9):919-922. 被引量:6
  • 3Piepho T, Weinert K, Heid FM, et al. Comparison of the McGrath ~) Sehes 5 and GlideScope ~ Ranger with the Macintosh laryn- goscope by paramedics[ J]. Scand J Trauma Resusc Emerg Med, 2011,19(1) :4. 被引量:1
  • 4Seet E, Yousaf F, Gupta S, et al. Use of manometry for laryngeal mask airway reduces postoperative pharyngolaryngeal adverse e- vents : a prospective ; randomized trial [ J ~. Anaesthesiology, 2010, 112(3) :652-657. 被引量:1
  • 5庄心良,曾因明,陈伯銮.现代麻醉学[M].3版.北京:人民卫生出版社,2013:2556. 被引量:4
  • 6Noppens RR, Mtibus S, Held F, et al. Evaluation of theMcGrath series 5 videolaryngoscope after failed direct laryngoscopy [ J ]. Anaesthesia ,2010,65 (7) :716-720. 被引量:1
  • 7Burdett E, Ross-Anderson DJ, Makepeace J, et al. Randomized controlled trial of the A. P. Advance, McGrath, and Macintosh la- ryngoscopes in normal and difficult intubation scenarios:a mani- kin study [ J~. Br J Anaesth ,2011,107 (6) :983-988. 被引量:1
  • 8Maassen R, Lee R, Hermans B, et al. A comparison of three video laryngoscopes: the Macintosh laryngoscope blade reduces, but does not replace, routine stylet use for intubation in morbidly obese patients [ J ]. Anesth Analg,2009,109 (5) : 1560-1565. 被引量:1
  • 9Cooper RM, Pacey JA, Bishop M J, et al. Early clinical experience with a new videolaryngoscope ( GlideScope ) in 728 patients [ J ]. Can J Anaesth ,2005,52 ( 2 ) : 191-198. 被引量:1
  • 10徐文莉,佟世义,邓晓明,王磊,刘孝文,王烨.McGrath视频喉镜在预测困难气管插管中应用的可行性[J].中国医学科学院学报,2012,34(2):193-194. 被引量:10

二级参考文献15

  • 1Noppens RR,Mbus S,Heid F,et al.Evaluation of theMcGrath series 5 videolaryngoscope after failed direct laryn-goscopy[J].Anaesthesia,2010,65(7):716-720. 被引量:1
  • 2Graterol J,Quader K.McGrath videolaryngoscope for an an-ticipated difficult airway[J].Br J Anaesth,2009,103(2):308-309. 被引量:1
  • 3van Zundert A,Maassen R,Lee RA,et al.Macintosh laryn-goscope blade for videolaryngoscopy reduces stylet use in pa-tients with normal airways[J].Anesth Analg,2009,109(3):825-831. 被引量:1
  • 4Maassen R,Lee R,Hermans B,et al.A comparison of threevideolaryngoscopes:the Macintosh laryngoscope blade re-duces,but does not replace,routine stylet use for intubationin morbidly obese patients[J].Anesth Analg,2009,109(5):1560-1565. 被引量:1
  • 5Piepho T, Weinert K, Heid FM, et al. Comparison of the McGrath* Series 5 and GlideScope* Ranger with the Macin- tosh laryngoscope by paramedics. Scand J Trauma Resusc Emerg Med, 201t, 19(1) : 4. 被引量:1
  • 6Graterol J, Quader K. McGrath videolaryngoscope for an anticipa- ted difficult airway. Br J Anaesth,2009,103(2):308-309. 被引量:1
  • 7Noppens RR, M6bus S, Heid F, et al. Evaluation of the McGrath Series 5 videolaryngoscope after failed direct laryn- goscopy. Anaesthesia, 2010,65 (7) :716-720. 被引量:1
  • 8Cormack RS, Lehane J. Difficult tracheal intubation in obstet- rics. Anaesthesia, 1984,39(11) : 1105-1111. 被引量:1
  • 9Cooper RM. Complications associated with the use of the Gli- deScope videolaryngoscope. Can J Anaesth, 2007, 54 ( 1 ), 54-57. 被引量:1
  • 10Williams D, Ball DR. Palatal perforation associated with McGi'ath videolaryngoscope. Anaesthesia, 2009, 64 (10): 1144-1145. 被引量:1

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