Application of Two Kinds of Video Laryngoscope in General Anesthesia during UPPP Operation
10.3969/j.issn.0253-9896.2014.08.025
- VernacularTitle:两种视频喉镜在悬雍垂腭咽成形术全身麻醉中的应用
- Author:
Guiping WANG
;
Lihua CHANG
;
Peng ZHANG
;
Jiujian WANG
;
Guang BAI
- Publication Type:Journal Article
- Keywords:
laryngoscopes;
anesthesia,general;
intubation,intratracheal;
sleep apnea syndromes;
video laryngo-scope;
uvulopalatopharyngoplasty;
difficult airway
- From:
Tianjin Medical Journal
2014;(8):822-824
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare success rate of intubation and safety of two types of video laryngoscopes during anesthesia in uvulopalatopharyngoplasty surgery (UPPP) for obstructive sleep apnea syndrome (OSAS) patients. Methods UPPP surgery were operated to 60 patients between January and October of 2013 and those patients were randomly divided into McGrath MAC video laryngoscope group (M group), GlideScope video laryngoscope (G group), and SHUCMAN direct la-ryngoscopy (S group), with 20 patients per group. Mallampati classification scores, Cormack-Lehane grade, intubation suc-cess rate, pre-intubation vs post-intubation heart rate and blood pressure changes were recorded and compared. Results Mallampati classification scores were not significantly different between these three groups, and Cormack-Lehane grade be-tween M group and G group were also not statistically different. M and G group had distinct advantages in Cormack-Lehane grade, success rate in intubation, heart rate, blood pressure at completion of intubation (T3) and 1 minute after intubation (T4), and the differences are statistically significant (P < 0.05). Blood pressure changes were stabler in G group than M group. Conclusion The two video laryngoscopes used in anesthesia intubation during UPPP surgery can both effectively re-veal the structure of the throat, but also work with high success rate and safety. What’s more, in this study the McGrath MAC video laryngoscope was shown to be superior to GlideScope video laryngoscope.
