摘要
视频喉镜是能够提供上呼吸道间接视野的新型气管插管设备。在困难气道管理处理方面.与直接喉镜相比.视频喉镜能够改善声门显露的Cormack—Lehane分级,并能在较短时间内达到相同或更高的气管插管成功率。尽管视频喉镜可获得非常好的声门显露.但是应用视频喉镜时插入和推进气管导管有时可发生失败。到目前为止,尚无确切证据表明在正常或困难气道患者视频喉镜应取代直接喉镜。
Video-laryngoscopes are new intubation devices, which provide an indirect view of the upper airway. In difficult airway management, they improve Cormack-Lehane grade and achieve the same or a higher intubation success rate in less time, compared with direct laryngoscopes. Despite the very good visualization of the glottis, the insertion and advancement of the endotracheal tube with video-laryngoscopes may occasionally fail. So far, there is inconclusive evidence indicating that video-laryngoscopy should replace direct laryngoscopy in patients with normal or difficult airways.
出处
《麻醉与监护论坛》
2010年第6期418-425,共8页
Forum of Anesthesia and Monitoring
关键词
视频喉镜
气道管理
困难气道
气管插管
video-laryngoscopes
airway management
difficult airway
tracheal intubation