院外急救中使用视频喉镜进行气管插管的可行性分析

Feasible analysis of endotracheal intubation application with video laryngoscope in pre-hospital emergency practice

目的探讨院外急救中使用视频喉镜进行气管插管的可行性。方法分析2013年1月～2014年6月，使用视频喉镜在院外急救中进行气管插管的23例患者，统计其插管时间、插管成功率、有效率及并发症发生情况，从而综合分析其可行性。结果23例患者中，插管成功21例，成功率91．30％，插管用时（36．4±14．8）s；成功插管的2l例患者中，18例有效，有效率85．71％；2例发生组织损伤的并发症，发生率为9．52％，无一例发生误入食道、呕吐误吸、气道梗阻等危重并发症。结论在院外急救中使用视频喉镜进行气管插管，耗时短暂、成功率高、有效率高、并发症少，具有易于操作、安全有效的特点，具有可行性。

Objective To explore feasibility of endotracheal intubation （ETI） application with video laryngoscope in pre-hospital emergency practice. Methods An analysis was conducted on 23 patients who were adopted with video laryngoscope for ETI in pre-hospital stage in between January 2013 and June 2014. From time length of ETI usage, effectiveness and the complications occurrence. Results Of the 23 cases, there were 21 successful （91.30%）. The mean time length of ETI was （36.4±14.8） seconds. In the 21 ETI cases, 18 of them were considered being effective （85.71%）; 2 with some tissue damage （9.52%）; No critical complication was found. Conclusion ETI application with video laryngoscope in pre-hospital stage is considered being safe and effective, and easy to operate. The application is recommended in pre-hospital emergency practice.