Comparation between lightwand and general laryngoscope application of trachea cannula in cervical spine fracture patients
- VernacularTitle:光棒辅助与普通喉镜气管插管用于颈椎骨折手术患者的比较
- Author:
Guodong ZHU
;
Junhua WANG
;
Pengfei RUI
- Keywords:
Lightwand;
Laryngoscope;
Tracheal intubation;
Cervical spine fracture
- From:
The Journal of Clinical Anesthesiology
2016;32(12):1180-1182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect and safety between lightwand and general-laryngo-scope application of trachea cannula in cervical spine fracture patients undergoing general anesthesia. Methods Forty cervical spine fracture patients with tracheal intubation anesthesia were selected,including twenty-eight males and twelve females,aged 18-65 years,ASA physical statusⅡor Ⅲ.These patients were randomly divided into two groups,twenty cases in each group.After anesthesia induction,group L was giv-en general laryngoscope intubation,whereas group C was taken lightwand guided tracheal intubation.The success case of intubation at first,intubation time,adverse reaction of intubation,changes of MAP and HR at intubation and 5 minutes after intubation were observed.Results Compared with group L,success rate of intubation at first was higher (90% vs.60%),intubation time was shorter [(31.3±11.1)s vs.(46.6 ±15.2)s]in group C (P <0.05).The changes of MAP and HR were more stable during intubation in group C compared with group L.Four cases of arrhythmia (20%)occurred in group C,while none in group L.Conclusion Compared with intubation by general laryngoscope,application of tracheal intubation led by lightwand in cervical fracture patients is more effective and safer.
