PDF(Pubmed)
Abstract：
UNASSIGNED: Correctly holding the endotracheal tube (ETT) is essential for successful tracheal intubation. The study\'s primary objective was to compare the between-the-fingers grip with the conventional pen-holding grip regarding the number of attempts required for orotracheal intubation and usage of external aids.
UNASSIGNED: Three hundred patients undergoing elective surgeries under general anaesthesia were randomised according to the method to hold the ETT to Group C (conventional grip) and Group M (modified, between-the-fingers grip) during oro-tracheal intubation. A designated anaesthetist blinded to the groups performed laryngoscopy in all the patients, and difficult Cormack-Lehane grade 3b and 4 (n = 24) were excluded. Then, the group was revealed to the anaesthetist, and intubation was done accordingly; the number of attempts, use of backward upward rightward pressure (BURP), and time taken were noted. The sample size was estimated using the software G*Power version 3.1.9.2. Statistical Package for Social Sciences, version 23 (SPSS-23, IBM, Chicago, USA) was used for data analysis.
UNASSIGNED: Single-attempt intubation was comparable between the groups (99.3% versus 97.2%, P = 0.197). In contrast, the external assistance as BURP (0.75% versus 6.99%, P = 0.009) and the time taken for intubation (P = 0.008) were reduced in group M significantly.
UNASSIGNED: The between-the-fingers grip seems as effective as the standard grip to hold the ETT during intubation. However, it proved to be better as it can reduce the requirement for external assistance in BURP.
UNASSIGNED: Three hundred patients undergoing elective surgeries under general anaesthesia were randomised according to the method to hold the ETT to Group C (conventional grip) and Group M (modified, between-the-fingers grip) during oro-tracheal intubation. A designated anaesthetist blinded to the groups performed laryngoscopy in all the patients, and difficult Cormack-Lehane grade 3b and 4 (n = 24) were excluded. Then, the group was revealed to the anaesthetist, and intubation was done accordingly; the number of attempts, use of backward upward rightward pressure (BURP), and time taken were noted. The sample size was estimated using the software G*Power version 3.1.9.2. Statistical Package for Social Sciences, version 23 (SPSS-23, IBM, Chicago, USA) was used for data analysis.
UNASSIGNED: Single-attempt intubation was comparable between the groups (99.3% versus 97.2%, P = 0.197). In contrast, the external assistance as BURP (0.75% versus 6.99%, P = 0.009) and the time taken for intubation (P = 0.008) were reduced in group M significantly.
UNASSIGNED: The between-the-fingers grip seems as effective as the standard grip to hold the ETT during intubation. However, it proved to be better as it can reduce the requirement for external assistance in BURP.
摘要：
■正确握住气管导管（ETT）对于成功进行气管插管至关重要。该研究的主要目的是比较手指间握把和传统的笔握握把，以测量气管插管所需的尝试次数和使用外部辅助设备。
■根据持有ETT的方法，将三百名在全身麻醉下进行择期手术的患者随机分为C组（常规握把）和M组（改良，在口气管插管期间，手指之间的抓握）。一名指定的麻醉师对所有患者进行了喉镜检查，排除了困难的Cormack-Lehane3b级和4级（n=24）。然后，这个小组被透露给麻醉师，相应地进行了插管；尝试的次数，使用向后向上向右的压力（BURP），并记录了所花费的时间。使用软件G*Power版本3.1.9.2估计样本量。社会科学统计软件包，版本23(SPSS-23、IBM、芝加哥,美国)用于数据分析。
■两组之间的单次插管具有可比性（99.3％对97.2％，P=0.197）。相比之下,外部援助为BURP(0.75%对6.99%，P=0.009），M组插管时间（P=0.008）显着减少。
■手指间的握把似乎与标准握把一样有效，可以在插管期间握住ETT。然而,事实证明，它更好，因为它可以减少对BURP外部援助的需求。
■根据持有ETT的方法，将三百名在全身麻醉下进行择期手术的患者随机分为C组（常规握把）和M组（改良，在口气管插管期间，手指之间的抓握）。一名指定的麻醉师对所有患者进行了喉镜检查，排除了困难的Cormack-Lehane3b级和4级（n=24）。然后，这个小组被透露给麻醉师，相应地进行了插管；尝试的次数，使用向后向上向右的压力（BURP），并记录了所花费的时间。使用软件G*Power版本3.1.9.2估计样本量。社会科学统计软件包，版本23(SPSS-23、IBM、芝加哥,美国)用于数据分析。
■两组之间的单次插管具有可比性（99.3％对97.2％，P=0.197）。相比之下,外部援助为BURP(0.75%对6.99%，P=0.009），M组插管时间（P=0.008）显着减少。
■手指间的握把似乎与标准握把一样有效，可以在插管期间握住ETT。然而,事实证明，它更好，因为它可以减少对BURP外部援助的需求。
