...
首页> 外文期刊>Anaesthesia >Evaluation of the novel, single-use, flexible aScope® for tracheal intubation in the simulated difficult airway and first clinical experiences
【24h】

Evaluation of the novel, single-use, flexible aScope® for tracheal intubation in the simulated difficult airway and first clinical experiences

机译:对模拟的困难气道中用于气管插管的新型,一次性使用的灵活aScope®进行评估,并获得首次临床经验

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       

摘要

SummaryFlexible fibreoptic intubation is widely accepted as an important modality for the management of patients with difficult airways. We compared the aScope®, a novel, single-use, flexible video-endoscope designed to aid tracheal intubation, with a standard flexible intubating fibrescope, by examining the performance of 21 anaesthetists during an easy and difficult intubation simulation in a manikin. Intubation success, time for intubation, and rating of the devices (using a scale from 1, excellent to 6, fail) were documented. Intubation times were similar for both flexible 'scopes in the scenarios (p = 0.59). Successful intubation rates were higher for the standard intubating fibrescope (17/21, 81%) than the aScope (14/21, 67%; p = 0.02) in the difficult intubation scenario. The median (IQR[range]) ratings for the standard fibrescope vs the aScope were respectively: overall, 2 (1.75–2 [1–2.5]) vs 3 (2–3.25 [1–5]) (p < 0.0001); picture quality 2 (1.5–2 [1–3]) vs 3 (2–4 [1–5]) (p < 0.0001). The aScope was also successfully used to facilitate tracheal intubation in five patients with anticipated or unanticipated difficult airways. Picture quality was sufficient to identify the anatomical landmarks. Although the performance of the aScope is acceptable, it does not meet the current quality of standard flexible intubation fibrescopes.
机译:总结柔性纤维插管已被广泛认为是治疗气道困难患者的一种重要方式。我们通过检查21位麻醉师在轻松插管和困难插管期间的性能,将aScope ®(一种新颖的,一次性使用的,灵活的视频内窥镜)与标准的柔性插管纤维镜相比较,该镜经设计可帮助气管插管人体模型中的模拟。记录了插管成功,插管时间和设备的等级(使用从1到6的等级,评定为失败)。在这两种情况下,两个柔性镜的插管时间相似(p = 0.59)。在困难的插管情况下,标准插管纤维镜的成功插管率(17/21,81%)高于aScope(14/21,67%; p = 0.02)。标准纤维镜相对于aScope的中值(IQR [范围])等级分别为:总体上,2(1.75–2 [1-2.5])vs 3(2-3.25 [1-5])(p <0.0001);图片质量2(1.5–2 [1–3])vs 3(2–4 [1–5])(p <0.0001)。 aScope还成功用于五名患有预期或意外气道困难的患者的气管插管。图片质量足以识别解剖标志。尽管aScope的性能是可以接受的,但它不符合标准柔性插管式光纤镜的当前质量。

著录项

  • 来源
    《Anaesthesia》 |2010年第8期|p.820-825|共6页
  • 作者单位

    Senior Registrar;

    Professor of Anaesthesia and Chairman;

    Consultant, Department of Anaesthesiology, University Medical Centre of the Johannes Gutenberg-University, Mainz, Germany;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号