在视频喉镜引导下为病态肥胖患者进行气管插管时,采用嗅位还是斜坡位?前瞻性随机观察研究

Adilakshmi N., Gajendra Singh, Pratima S. Kamareddy, Shilpa Wali, Anush D.S
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引用次数: 0

摘要

在视频喉镜引导下为病态肥胖患者进行气管插管时采用嗅觉体位还是斜坡体位:一项前瞻性随机观察研究":为接受直接喉镜检查的肥胖患者进行气管插管时,推荐使用斜坡体位。然而,使用斜坡体位是否能为视频喉镜引导下的插管带来任何益处仍不清楚。本研究评估了病态肥胖患者在斜坡体位和嗅觉体位下使用视频喉镜的插管时间。材料和方法:这是一项前瞻性随机观察研究,研究对象为病态肥胖患者(n = 82 例,体重指数 [BMI] ? 35 kg/m2)。患者被随机分配到斜坡体位组或标准嗅觉体位组。在全身麻醉诱导期间,使用沃特斯量表评估面罩通气的困难程度。气管插管使用 C-MAC® D-Blade 视频喉镜进行,插管难度使用插管难度量表(IDS)进行评估。主要终点是总插管时间,即喉镜检查时间与插管时间之和。结论与嗅觉体位相比,斜坡体位缩短了病态肥胖患者的插管时间,并有效促进了两种喉罩的使用。
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SNIFFING VERSUS RAMPED POSITION IN THE VIDEO-LARYNGOSCOPY-GUIDED TRACHEAL INTUBATION OF MORBIDLY OBESE PATIENTS: A PROSPECTIVE RANDOMIZED OBSERVATIONAL STUDY
Sniffing versus Ramped position in the videolaryngoscopy-guided tracheal intubation of morbidly obese patients: a prospective randomized observational study” Introduction: Ramped positioning is recommended for intubating obese patients undergoing direct laryngoscopy. However, whether the use of the ramped position can provide any benefit in videolaryngoscopy-guided intubation remains unclear. This study assessed intubation time using videolaryngoscopy in morbidly obese patients in the ramped versus sniffing positions. Materials and Methods: This is a prospective randomized observational study in patients with morbid obesity (n = 82 body mass index [BMI] ? 35 kg/m2). Patients were randomly allocated to either the ramped or the standard sniffing position groups. During the induction of general anesthesia, difficulty in mask ventilation was assessed using the Warters scale. Tracheal intubation was performed using a C-MAC® D-Blade videolaryngoscope, and intubation difficulty was assessed using the intubation difficulty scale (IDS). The primary endpoint was the total intubation time calculated as the sum of the laryngoscopy and tube insertion times. Conclusion: Compared with the sniffing position, the ramped position reduced intubation time in morbidly obese patients and effectively facilitated both mask.
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