Application of HC visual laryngoscope in emergency tracheal intubation for severe craniocerebral trauma patients with basilar fracture
10.11659/jjssx.08E016093
- VernacularTitle:HC可视喉镜在重症颅脑外伤伴颅底骨折患者紧急气管插管中的应用
- Author:
Jiaming ZHANG
;
Jinyu XU
;
Guorong HUANG
;
Jun SHI
;
Dongdong JI
;
Jiong GENG
;
Qingmiao DONG
- Keywords:
visual laryngoscope;
endotracheal intubation;
craniocerebral injury;
basilar fracture
- From:
Journal of Regional Anatomy and Operative Surgery
2017;26(6):442-445
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the clinical application values of HC visual laryngoscope in emergency tracheal intubation for severe craniocerebral trauma patients with basilar fracture.Methods Retrospective analysis was used to review 60 patients of severe traumatic brain injury with basilar fracture in emergency resuscitation room who needed the hospital emergency tracheal intubation.There were 30 patients operated with visual HC laryngoscope (the observation group), and the other 30 patients underwent common direct laryngoscope (the control group).The index of the degree of exposure,intubation time,success rate of intubation were compared between the two groups.ResultsThere were 28 cases (93.33%) of Cormark-Lehane grading Ⅰ to Ⅱ in observation group,which was significantly higher than 20 cases (66.67%) in the control group(P< 0.05).The average intubation time in observation group was (34.3±6.7) seconds,and it was shorter than (44.5±5.7) seconds in the control group (P<0.05).In observation group,26 cases (86.67%) were of one-time successful intubation,which was higher than 19 cases (63.33%) in the control group,and the difference was statistically significant(P<0.05).ConclusionHC visual laryngoscope in emergency tracheal intubation for severe craniocerebral trauma patients with basilar fracture can improve the success rate of intubation,shorten the intubation time,reduce adverse reactions,and it is worthy of clinical application.
