比较 HugeMed 视频喉镜和 Macintosh 直接喉镜对接受牙科治疗的儿童进行鼻气管插管:一项随机对照临床研究。

Ozlem Kocaturk, Sultan Keles
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引用次数: 0

摘要

研究目的本研究旨在比较 HugeMed® 视频喉镜和 Macintosh 直接喉镜在鼻气管插管中的表现:88名4-10岁的儿童被随机分配到HugeMed®视频喉镜(HVL)组或Macintosh直接喉镜(MDL)组。对插管难度、声门视野等级、插管时间、气管插管尝试次数、喉外操作和马吉尔镊子的使用、恢复时间、儿科麻醉-谵妄量表(PAEDS)评分、气管插管引起的疼痛和喉部出血进行了评估:结果:HVL 组气管插管容易的发生率高于 MDL 组(P = 0.001)。与 MDL 组相比,HVL 组的声门视野更好(p = 0.027)。在气管插管时间、气管插管尝试次数、Magill 钳使用量、疼痛和气管插管出血量方面,两组之间没有差异。MDL 组的喉外操作需求(p = 0.004)和 PAEDS 评分(p = 0.006)均高于 HVL 组:结论:与 Macintosh 直接喉镜相比,HugeMed® 视频喉镜可提供更简便的气管插管,创造更好的声门视野,并显著减少鼻气管插管时的额外操作需求。临床试验注册:www.clinicaltrial.gov 识别码为 NCT05121597。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of the HugeMed video laryngoscope with the Macintosh direct laryngoscope for nasotracheal tracheal intubation in children undergoing dental treatment: a randomized controlled clinical study.

Objectives: The aim of this study was to compare the performance of the HugeMed® videolaryngoscope with a direct Macintosh laryngoscope for nasotracheal intubation.

Methods: Eighty-eight children aged 4-10 years were randomly assigned to either the HugeMed® videolaryngoscope (HVL) or the Macintosh direct laryngoscope (MDL) group. Intubation difficulty, glottic view grade, time-to-intubation, number of tracheal intubation attempts, use of external laryngeal manipulation and Magill forceps, recovery time, pediatric-anesthesia-delirium-scale (PAEDS) scores, pain due to tracheal intubation, and laryngeal bleeding were evaluated.

Results: Easy tracheal intubation incidence was higher in the HVL group than that in the MDL group (p = 0.001). Glottic view was better in the HVL group as compared to the MDL group (p = 0.027). There was no difference between the groups in terms of time-to-tracheal intubation, number of tracheal intubation attempts, Magill forceps usage, pain, and bleeding due to tracheal intubation. The need for external laryngeal manipulation (p = 0.004) and PAEDS scores (p = 0.006) were higher in the MDL group than those in the HVL group.

Conclusion: HugeMed® videolaryngoscope may provide easier tracheal intubation, create a better glottic view, and significantly reduce the need for additional manipulation compared to the Macintosh direct laryngoscope, for nasotracheal intubation.

Clinical trial registration: www.clinicaltrial.gov identifier is NCT05121597.

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