Božislava Gerjevič (Author), Vesna Novak-Jankovič (Author), Mirt Kamenik (Author)

Abstract

Namen: Airtraq je optični laringoskop za enkratno uporabo, ki je oblikovan tako, da olajša vstavitev dihalne cevke pri bolnikih z običajno in oteženo dihalno potjo. Namen raziskave je bil preveriti učinkovitost Airtraq laringoskopa pri bolnikih, pri katerih smo na podlagi predoperativnega pregleda pričakovali povečano tveganje za težko vstavitev dihalne cevke. Pri predoperativnem pregledu smo ocenjevali naslednje napovedne dejavnike za težko vstavitev dihalne cevke: (1) oceno po Mallampatiju, (2) tiromentalno razdaljo, (3) sternomentalno razdaljo in (4) Cormack Lehanov točkovalnik. Metode: V raziskavo smo vključili 29 bolnic ASA skupine 1-2, ki so bile predvidene za ginekološke operacije. Pri vsaki bolnici smo pred intubacijo s pomočjo Airtraq laringoskopa opravili direktno laringoskopijo z Macintoshovim laringoskopom in ocenili vidljivost grla, odgovor obtočil na laringoskopijo, zasičenost hemoglobina s kisikom in čas do vstavitve dihalne cevke. Rezultati:Raziskava je pokazala, da je bila vidljivost grla boljša ob uporabi Airtraq laringoskopa kot ob uporabi Macintoschovega laringoskopa (p = 0.02). Srednji arterijski tlak se je med vstavitvijo dihalne cevke statistično značilno povečal (p < 0.05), ob tem sta ostala frekvenca srca in nasičenost hemoglobina s kisikom nespremenjena. Povprečen čas do vstavitve dihalne cevke s pomočjo Airtraq laringoskopa je bil 15 sekund z razponom od 5 do 45 sekund. Zaključek: Rezultati raziskave kažejo, da je vstavitev dihalne cevke s pomočjo Airtraq laringoskopa hitra in varna pri bolnikih, pri katerih pričakujemo otežene pogoje za vstavitev dihalne cevke.

Keywords

tracheal intubation;Airtraq;difficult airway;general anaesthesia;

Data

Language: English
Year of publishing:
Typology: 1.01 - Original Scientific Article
Organization: UM - University of Maribor
Publisher: Medicinska fakulteta
UDC: 614.894
COBISS: 512120888 Link will open in a new window
ISSN: 1855-5640
Parent publication: Acta medico-biotechnica
Views: 1302
Downloads: 48
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Other data

Secondary language: Slovenian
Secondary title: Tracheal intubation using the airtraq for moderately difficult airways
Secondary abstract: Purpose: The Airtraq is a single-use optical laryngoscope designed to facilitate tracheal intubation of normal and difficult airway patients. The purpose of this study was to evaluate the performance of the Airtraq in patients who possessed characteristics associated with an increased risk for difficult intubation. These characteristics were defined based on the following assessments: (1) Mallampati score, (2) thyromental distance, (3) sternomental distance, (4) Cormack and Lehane score. Methods: The present study included 29 patients with an ASA grade 1-2 who were scheduled to undergo gynaecological operations. In each patient, a direct laryngoscopy utilizing the Macintosh laryngoscope was performed prior to intubation with the Airtraq laryngoscope, and several characteristics were evaluated including visibility of the glottis, haemodynamic response, oxygenation, and intubation time. Results: The findings of this study revealed that the Airtraqsignificantly improved the view of the glottis, as compared with the Macintosh laryngoscope (p=0.02). Likewise, the mean arterial pressure significantly increased (p<0.05) during intubation, whereas the heart rate andSpO2 remained unchanged. The mean intubation time with the Airtraq was 15 seconds, and ranged from 5 to 45 seconds. Conclusion: The results from this study demonstrate that intubation using the Airtraq laryngoscope appears to beboth rapid and safe in patients who show an increased risk for difficult intubation.
Secondary keywords: vstavitev dihalne cevke;Airtraq;otežena vzpostavitev dihalne poti,;splošna anestezija;
URN: URN:NBN:SI
Type (COBISS): Scientific work
Pages: str. 19-23
Volume: ǂVol. ǂ4
Issue: ǂ[no.] ǂ1
Chronology: 2011
ID: 23443523