喉镜检查失败后抢救技术的评估:一项多中心前瞻性观察研究。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Kemal Tolga Saracoglu, Mehmet Yilmaz, Ayse Zeynep Turan, Ayten Saracoglu, Alparslan Kus, Volkan Alparslan, Ozlem Deligoz, Zuhal Aykac, Osman Ekinci
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引用次数: 1

摘要

目的:第四次国家审计项目发现,发生严重气道并发症的频率为1/ 22000。在困难气道指南中推荐了各种救援技术。本研究旨在评估直接喉镜检查失败后的抢救技术,并分析困难气道管理的成功率和潜在并发症。方法:这是一项在四个转诊中心进行的多中心前瞻性观察研究。本研究包括四所大学附属医院在日常实践中使用纤维支气管镜和视频喉镜。患者接受全身麻醉,预期或非预期插管困难。记录了直接喉镜和间接喉镜的首选抢救技术和尝试情况。结果:92例患者平均年龄46.58±21.19岁。最常见的抢救技术是在直接喉镜检查失败后进行视频喉镜检查。滑翔镜是首选的视频喉镜。麻醉住院医师进行了大多数第一次气管插管尝试,而麻醉专家在所有中心进行了第二次气管插管尝试。预期气道困难组第一名住院医师的经验显著高于预期气道困难组(4.0±5.5年)(p=0.045)。未预期气道困难组和预期气道困难组首次抢救次数分别为2.0±2.0和1.0±1.0次(p=0.004)。结论:视频喉镜检查是一种更普遍的首选技术,无论是预期的和非预期的困难插管。滑梯镜是直接喉镜检查失败后插管困难时使用最多的抢救器械,成功率高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluation of rescue techniques following failed laryngoscopy: A multicenter prospective observational study.

Evaluation of rescue techniques following failed laryngoscopy: A multicenter prospective observational study.

Evaluation of rescue techniques following failed laryngoscopy: A multicenter prospective observational study.

Evaluation of rescue techniques following failed laryngoscopy: A multicenter prospective observational study.

Objective: The Fourth National Audit Project revealed that severe airway complications occur in the frequency of 1/22,000. Various rescue techniques were recommended in difficult airway guidelines. This study aims to evaluate the rescue techniques following failed direct laryngoscopy and analyze the success rates and potential complications during difficult airway management.

Methods: This was a multicenter and prospective observational study carried out in four referral centers. Four academic university hospitals using fiberoptic bronchoscopy and videolaryngoscopy in their daily practice were included in the study. Patients undergoing general anesthesia with anticipated or unanticipated difficult intubation were enrolled. The preferred rescue technique and the attempts for both direct and indirect laryngoscopies were recorded.

Results: At the mean age of 46.58±21.19 years, 92 patients were analyzed. The most common rescue technique was videolaryngoscopy following failed direct laryngoscopy. Glidescope was the most preferred videolaryngoscope. Anesthesia residents performed most of the first tracheal intubation attempts, whereas anesthesia specialists performed the second attempts at all centers. The experience of the first performer as a resident was significantly higher in the anticipated difficult airway group (4.0±5.5 years) (p=0.045). The number of attempts with the first rescue technique was 2.0±2.0 and 1.0±1.0 in the unanticipated difficult airway and anticipated difficult airway groups, respectively (p=0.004).

Conclusion: Videolaryngoscopy was a more commonly preferred technique for both anticipated and unanticipated difficult intubations. Glidescope was the most used rescue device in difficult intubations after failed direct laryngoscopy, with a high success rate.

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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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