Effect of the separated airway on the Intubating condition in fiberoptic bronchoscope-guided intubation fiberoptic intubation using separated airway
Anesthesia and Pain Medicine
; : 298-302, 2011.
Article
em Ko
| WPRIM
| ID: wpr-14749
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND: Fiberoptic bronchoscope guided intubation is an important method of difficult airway management. The use of specific airways has been devised to assist the fiberoptic intubation. The authours compared effectiveness of separated airway with fiberoptic bronchoscope guided intubation and the hemodynamic responses. METHODS: 104 adult patients of American Society of Anesthesiologists grading (ASA) I-II who scheduled for surgery under general anesthesia were randomly divided into the Laryngoscope group (L group, n = 30) or the Fiberoptic bronchoscope group (F group, n = 36) or the Fiberoptic bronchoscope with separated airway (MF group, n = 38). A Fiberoptic bronchoscope guided intubation and a fiberoptic bronchoscope with separated airway and a direct laryngoscope was performed after inducing anesthesia. Intubation time, Jaw thrust incidence, mean blood pressure and heart rate after anaesthesia induction, at intubation and every two minute for a further 7 min were recorded. RESULTS: The intubation time was significantly shorter in the MF group (58.3 +/- 13.7 sec) than F group (71.9 +/- 22.1 sec). Jaw thrust incidence was lower in the MF group (60.5%) than F group (100%). The changes of MAPs and HRs during the observation were not significantly different in three group. CONCLUSIONS: Fiberoptic intubation using separated airway reduced intubation time and the incidence of jaw thrust.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Pressão Sanguínea
/
Incidência
/
Broncoscópios
/
Laringoscópios
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Manuseio das Vias Aéreas
/
Frequência Cardíaca
/
Hemodinâmica
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Intubação
/
Anestesia
/
Arcada Osseodentária
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
Idioma:
Ko
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2011
Tipo de documento:
Article