Efficacy of fiberoptic bronchoscope-guided orotracheal intubation with Glidescope videolaryngoscopy In elderly patients
10.3760/cma.j.issn.0254-1416.2011.09.021
- VernacularTitle:Glidescope视频喉镜辅助纤维支气管镜用于老年患者经口气管插管的效果
- Author:
Hefan HE
;
Weifeng LIU
;
Yan LI
;
Peiqing WENG
;
Zhiyuan CHEN
;
Jinwei LIANG
- Publication Type:Journal Article
- Keywords:
Laryngoscopes;
Bronchoscopy;
Aged;
Intubation,intratracheal
- From:
Chinese Journal of Anesthesiology
2011;31(9):1103-1105
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of fiberoptic bronchoscope(FOB)-guided orotracheal intubation with Glidescope videolaryngoscopy in elderly patients.Methods Forty ASA Ⅰ or Ⅱ patients,agaed 65-77yr,weighing 43-82 kg,scheduled for abdominal surgery under general anesthesia with trcheal intubation,were randomly divided into 2 groups ( n =20 each):group FOB and FOB-guided tracheal intubation with Glidescope videolaryngoscopy(group Glidescope).Anesthesia was induced with mideazolam 0.04 mg/kg,cis-atracutium 0.2 mg/kg,fentany 2-3 μg/kg and propofol 1.5 mg/kg,orotracheal intubation was performed 3 min after intravenous cis-artracurium.The intubation time,success rate of orotracheal intubation and hypoxemia were recorded.The number of glottic exposure,epiglottic exposure with Glidescope videolargngoscopy were recorded in group Glidescope.Results The intubation time was shorter and success rate of orotracheal intubation at first attempt was higher in group Glidescope than in group FOB ( P ＜ 0.05).The number of glottic exposure with Glideseope videolaryngoscopy was 15 patients(75％ ) and epiglottic exposure was 5 patients(25％ ) in group Glidescope.Hypoxemia was not found in the two groups.Conclusion FOB-guided orotracheal intubation with Glidescope videolaryngoscopy shorten the intubation time and higher success rate,and can be used effectively in the elderly patients.
