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首页> 外文期刊>Journal of neurosurgical anesthesiology >Comparing performance of indirect and direct laryngoscopes for nasotracheal intubation in patients with ankylosing spondylitis
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Comparing performance of indirect and direct laryngoscopes for nasotracheal intubation in patients with ankylosing spondylitis

机译：间接和直接喉镜在强直性脊柱炎患者鼻气管插管中的性能比较

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To the Editor: The recent article by Lili et al comparing nasotracheal intubation with Glidescope videolaryngoscope (GSVL) and Macintosh laryngoscope (ML) in patients with ankylosing spondylitis was of great interest to us. They showed that, compared with the ML, GSVL provided a better glottic view and reduced the intubation difficulty with higher overall success rate and shorter intubation duration. These findings have potential clinical value, but there are several issues of this study that need to be clarified and discussed. First, difficult intubation in patients with ankylosing spondylitis is mainly attributed to cervical spine rigidity.2 In the method, the authors described that atlanto-occipital extension was evaluated before surgery. In the discussion, they mentioned that 2 patients in the GSVL group and 6 patients in the ML group could not be intubated with the GSVL, and atlanto-occipital extension was extremely limited in all these patients.
机译：致编辑：Lili等人最近发表的文章比较了强直性脊柱炎患者的鼻气管插管与Glidescope电子喉镜（GSVL）和Macintosh喉镜（ML）。他们表明，与ML相比，GSVL提供了更好的声门视野，并降低了插管难度，总体成功率更高，插管时间更短。这些发现具有潜在的临床价值，但是该研究中有几个问题需要澄清和讨论。首先，强直性脊柱炎患者插管困难主要归因于颈椎僵硬。2在该方法中，作者描述了在手术前对寰枕后伸进行了评估。在讨论中，他们提到GSVL组中的2例患者和ML组中的6例患者无法用GSVL进行插管，并且所有这些患者的寰枕扩展都非常有限。

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