关键词: Intubation difficulty Laryngoscope Nasal intubation Pediatric anesthesia Video laryngoscope

来  源:   DOI:10.1080/17434440.2024.2363289

Abstract:
UNASSIGNED: The aim of this study was to compare the performance of the HugeMed® videolaryngoscope with a direct Macintosh laryngoscope for nasotracheal intubation.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: www.clinicaltrial.gov identifier is NCT05121597.
摘要:
这项研究的目的是比较HugeMed®视频喉镜与直接Macintosh喉镜在经鼻气管插管中的性能。
88名4-10岁儿童被随机分配到HugeMed®视频喉镜(HVL)或Macintosh直接喉镜(MDL)组。插管困难,声门视图等级,插管时间,尝试气管插管的次数,使用外部喉部操作和Magill镊子,恢复时间,小儿麻醉谵妄量表(PAEDS)评分,气管插管引起的疼痛,和喉部出血进行评估。
HVL组易气管插管发生率高于MDL组(p=0.001)。与MDL组相比,HVL组的声门视图更好(p=0.027)。两组在气管插管时间方面没有差异,尝试气管插管的次数,马吉尔镊子的用法,疼痛,以及气管插管引起的出血.与HVL组相比,MDL组需要进行外部喉部操作(p=0.004)和PAEDS评分(p=0.006)。
HugeMed®可视喉镜可以提供更容易的气管插管,创造一个更好的声门视图,与Macintosh直接喉镜相比,显着减少了对额外操作的需求,用于经鼻气管插管.
www.clinicaltrial.gov标识符是NCT05121597。
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