Comparison of application of videolaryngoscope and Macintosh laryngoscope in double-lumen endobronchial intubation
10.12089/jca.2018.01.006
- VernacularTitle:可视喉镜与直接喉镜在双腔支气管插管中的应用
- Author:
Liyuan ZHANG
1
;
Xuhui CONG
;
Mingyang SUN
;
Jiaqiang ZHANG
Author Information
1. 450003,郑州大学人民医院麻醉科
- Keywords:
Videolaryngoscope;
Macintosh laryngoscope;
Double-lumen endobronchial intubation;
Intubation responses
- From:
The Journal of Clinical Anesthesiology
2018;34(1):25-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of videolaryngoscope and Macintosh la ryngoscope in double-lumen endobronchial intubation.Methods Eighty patients (50 males,30 females,aged 18-70 years,ASA grade Ⅰ-Ⅲ) of both sexes,scheduled for thoracic surgery and double lumen endobronchial intubation were randomly divided into two groups using a random number table:videolaryngoscope group and Macintosh laryngoscope group.The intubation time,the success rate of intubation,the views of glottis,the hemodynamics during the first 4 minutes of intubation,the number of positive responses to intubation and the incidence of pharyngalgia at 24 h after the operation were observed and compared between the two groups,the condition of oral hemorrhage and the injury of the tracheal walls were recorded as well.Results Compared with videolaryngoscope group,the C-L grade and the success rate of the first intubation of Macintosh laryngoscope group was significantly higher,the intubation time of Macintosh laryngoscope group was significantly shor ter (P＜0.05).In addition,the positive cases of responses to intubation and the incidence of pharyngalgia at 24 h after the operation of Macintosh laryngoscope group were obviously less than those of videolaryngoscope group (P＜0.05).There was no significant difference between the two groups of oral injury bleeding and the injury of tracheal wall and protuberance.At T2,T3,the two groups of MAP were significantly lower than that of T1,and the MAP of videolaryngoscope group was significantly lower than that of t Macintosh laryngoscope group at T2,T3 (P ＜ 0.05).Conclusion Compared with videolaryngoscope,Macintosh laryngoscope is more suitable for the doublelumen endobronchial intubation in patients predicted without difficulty in intubating.
