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Comparison of fibreoptic-guided orotracheal intubation through classic and single-use laryngeal mask airways.

机译:通过经典和一次性喉罩气道进行光纤引导的气管插管的比较。

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摘要

We compared times to intubate the trachea orally and success rates using two fibreoptically assisted techniques in 42 healthy patients with normal airways using (a) a 6.0-mm nasal RAE tracheal tube passed through a classic laryngeal mask airway (CLMA group) or (b) a 6.0-mm nasal RAE tracheal tube passed through a new disposable Portex Soft Seal laryngeal mask airway (PLMA group). The mean (SD) total intubation times were 82 (14) and 80 (17) s, respectively (p = 0.55). The success rates for intubation at the first attempt were similar (17/21 in the CLMA vs. 16/21 in the PLMA group; p = 0.50). We conclude that there is no clinically significant difference between the times to intubate the trachea or success rates using these two devices, but there may be other more subtle measures which might influence the choice of device in clinical practice. Finally, in the course of this study we developed a grading scale to describe the laryngeal views obtained when using a fibrescope passed through supraglottic airway devices.
机译:我们比较了42例健康的正常气道患者的两种光纤辅助技术经口气管插管的时间和成功率,方法是(a)将6.0毫米鼻RAE气管通过经典的喉罩气道(CLMA组)或(b)一根6.0毫米的RAE鼻气管插管穿过新的一次性Portex Soft Seal喉罩面罩气道(PLMA组)。平均(SD)总插管时间分别为82(14)和80(17)s(p = 0.55)。首次插管的成功率相似(CLMA组为17/21,PLMA组为16/21; p = 0.50)。我们得出的结论是,使用这两种设备对气管插管的时间或成功率在临床上没有显着差异,但是可能还有其他更微妙的措施可能会影响临床实践中设备的选择。最后,在本研究过程中,我们开发了一个分级量表,以描述使用通过声门上气道装置的纤维镜获得的喉镜视图。

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