Comparison of Lightwand Guided Tracheal Intubation in Difficult Airway between Waking State and Intra-venous Anesthesia Induced State
- VernacularTitle:"清醒"与静脉麻醉诱导状态光棒引导气管插管运用于困难气道的比较
- Author:
Qijin YU
1
;
Xianxi GUO
Author Information
1. 武汉大学人民医院 麻醉科 武汉430060
- Keywords:
Difficult airway;
Endotracheal intubation;
General anesthesia;
Local anesthesia
- From:
China Pharmacist
2017;20(12):2193-2195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the effect of lightwand guided tracheal intubation in difficult airway between waking state and intravenous anesthesia induced state. Methods:According to the random number table, 78 cases of difficult airway patients were di-vided equally into waking group and intravenous anesthesia induction group . The changes of vital signs, the time of tracheal intubation and the extubation complications after 1 h were compared between the groups. Results:Compared with the corresponding values of the waking group, the blood pressure and heart rate before and after the tracheal intubation significantly increased in the intravenous anes-thesia induction group (P<0. 05 or P<0. 01). In the same group, the blood pressure and heart rate increased significantly after the tracheal intubation when compared with those before the treatment (P<0. 05 or P<0. 01). Compared with that in the intravenous an-esthesia induction group, the time of tracheal intubation was significantly shorter in the waking group (P<0. 01), and the 24h postop-erative anesthesia satisfaction was improved significantly (P<0. 05). Conclusion: Compared with intravenous anesthesia induction, waking lightwand guided tracheal intubation in the patients with difficult airway has more advantages.
