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视频喉镜在气道管理中应用的进展 被引量:2

Advances on Use of Video - Laryngoscopes in Airway Management
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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
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  • 1刘禹赓,李春盛.GlideScope视频喉镜与普通喉镜的比较[J].中华急诊医学杂志,2005,14(9):768-768. 被引量:9
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  • 4Niforopoulou P, Pantazopoulos I, Demestiha T, et al. Video- laryngoscopes in the adult airway management: a topical review of the literature. Acta Anaesthesiol Scand, 2010, 54(9): 1050-1061.
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  • 6Holm-Knudsen R. The difficult pediatric airway - a review of new devices for indirect laryngoscopy in children younger than two years of age. Pediatr Anesth, 2011, 21(2): 98-103.
  • 7Griesdale DE, Liu D, McKinney J, et al. Glidescope video- laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth, 2012, 59 (1): 41-52.
  • 8Healy DW, Maties O, Hovord D, et al. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol, 2012, 12: 32.
  • 9Su YC, Chen CC, Lee YK, et al. Comparison of video laryngoscopes with direct laryngoscopy for tracheal intubation: a meta-analysis of randomised trials. Eur J Anaesthesiol, 2011, 28(11): 788-795.
  • 10Aziz MF, Healy D, Kheterpal S, et al. Routine clinical practice effectiveness of the GhdeScope in difficult airway management: an analysis of 2004 GlideScope intubations, complications, and failures from two institutions. Anesthesiology, 2011, 114( 1 ) : 34-41.

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