气管插管与喉镜检查:常规气管插管的新范例

Surgeries Pub Date : 2024-03-26 DOI:10.3390/surgeries5020015
H. Luk, J. Qu
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引用次数: 0

摘要

用于气管插管的喉镜已发展了几十年。在各种传统喉镜中,视频喉镜(VL)已被应用于不同的患者群体,包括困难气道。视频喉镜的安全性和有效性在正常气道和困难气道中都得到了反复研究。VL 的优越性已被观察到,并被提倡作为护理标准。与喉镜相比,视频辅助插管器(VS,又称styletubation)早在二十年前就已出现。此后,文献中出现了一些零星的临床使用经验。在这篇综述文章中,我们介绍了我们在使用体外插管方面的丰富经验(自 2016 年以来已接诊了 55000 多例患者)。我们发现,无论在正常气道还是困难气道情况下,该技术都具有快速(插管时间从 3 秒到 10 秒)、平稳(首次尝试成功率:100%)、安全(无气道并发症)和简便(新手学员主观满意度高且学习曲线快)的特点。因此,我们建议将气管插管技术作为气管插管的通用常规方法。
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Styletubation versus Laryngoscopy: A New Paradigm for Routine Tracheal Intubation
Laryngoscopy for tracheal intubation has been developed for many decades. Among various conventional laryngoscopes, videolaryngoscopes (VLs) have been applied in different patient populations, including difficult airways. The safety and effectiveness of VLs have been repeatedly studied in both normal and difficult airways. The superiority of VLs then has been observed and is advocated as the standard of care. In contrast to laryngoscopy, the development of video-assisted intubating stylet (VS, also named as styletubation) was noticed two decades ago. Since then, sporadic clinical experiences of use have appeared in the literature. In this review article, we presented our vast use experiences of the styletubation (more than 55,000 patients since 2016). We found this technique to be swift (the time to intubate from 3 s to 10 s), smooth (first-attempt success rate: 100%), safe (no airway complications), and easy (high subjective satisfaction and fast learning curve for the novice trainees) in both normal and difficult airway scenarios. We, therefore, propose that the styletubation technique can be feasibly applied as universal routine use for tracheal intubation.
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