Comparison of tracheal intubation with video intubationscope and visual laryngoscope in obese patients
10.3969/j.issn.1007-1989.2017.05.009
- VernacularTitle:明视插管软镜与可视喉镜在肥胖患者气管插管中的比较
- Author:
Zengting LU
;
Kangcong ZHANG
;
Zehua TU
;
Qianlin YE
;
Haoxiang HU
- Keywords:
intubation;
intratracheal;
video intubationscope;
visual laryngoscope;
obesity
- From:
China Journal of Endoscopy
2017;23(5):39-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy of orotracheal intubation with video intubationscope and visual laryngoscope in obese patients. Methods 60 ASA I or II obese patients, BMI >30 kg/m2, aged 22 ~ 60 years, underwent elective surgery requiring orotracheal intubation were randomly divided into two groups: the video intubationscope group (Group V) and the visual laryngoscope group (group K), 30 cases in each. Cormark-Lehane grade (C-L classification), tracheal intubation time, total intubation attempts, success rate of tracheal intubation and complications of tracheal intubation were recorded. Results Good glottic exposure view (C-L classification) was achieved in the two groups (P > 0.05), there were no significant difference in tracheal intubation time, the total success rate and the one-time success rate of tracheal intubation between the V and K groups [(24.4 ± 11.6) s vs (22.3 ± 13.2) s, 100.0% vs 100.0%, 90.0% vs 86.7%] (P > 0.05). There was no significant difference in the complications of tracheal intubation between the two groups (P > 0.05). Conclusion Video intubationscope and visual laryngoscope are suitable for tracheal intubation in obese patients, and has an advantage of good glottis exposure view, rapid intubation, great successful rate and few complications.