Observation of swallowing pain with disposcope endoscope in patients with difficult visible glottis
10.3969/j.issn.1006-5725.2014.22.021
- VernacularTitle:Discoscope内窥镜于声门显露困难患者气管插管术后吞咽痛的临床观察
- Author:
Xiuhua LI
;
Liangliang HE
- Publication Type:Journal Article
- Keywords:
Disposcope endoscope;
Macintosh larynscope;
Glottis;
Difficulty of imposing
- From:
The Journal of Practical Medicine
2014;(22):3606-3608
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the influence of post-operative swallowing painwith Disposcope endoscope or Macintosh laryngoscope in patients with difficult visible glottis. Methods Thirty-six patients scheduled for elective surgery under general anesthesia whose glottis was not visible underMacintosh laryngoscope (according to Cormach-Lehane Grading of laryngoscopic view) were randomized into 2 groups (n = 18 each):Disposcope endoscope group (group D) and Macintosh laryngoscope group (group M). The rate of glottis exposure and successful intubation, swallowing pain at 30 min, 1, 3 d after extubation were observed. Results Compared with group M , the successful rate of glottis exposure and first intubation was significantly higher than thatin group D (P < 0.05). Swallowing pain VAS was higher in group M than in group D at 1d afterextubation (P < 0.05). Conclusions Compared with Macintosh laryngoscope , Disposcope endoscope in patients with difficult visible glottis could induce higher successful rate of glottis exposure and first intubation , shorter time of intubation and lower VAS of swallowing pain at 1d after extubation.
