A randomized controlled trial of sitting position and supine position in bronchoscopy on securing a clear airway during anesthesia
10.3969/j.issn.1007-1989.2018.05.013
- VernacularTitle:不同体位支气管镜检查的麻醉中气道通畅性的随机对照研究
- Author:
Xiao-Jing XIE
1
;
Rui-Ling WANG
;
Ning-Juan QIANG
;
Ming-Kai YU
Author Information
1. 陕西省宝鸡市人民医院 麻醉科
- Keywords:
anesthesia;
bronchoscopy;
sitting position
- From:
China Journal of Endoscopy
2018;24(5):73-77
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the airway patency during sitting position and supine position in bronchoscopy during anesthesia. Method Forty-eight patients underwent bronchoscopy during Non-intubation anesthesia were randomly allocated to two groups.There were 24 cases in each group by observeing the airway patency and vital signs of the two groups during the procedure. Result Sitting position in bronchoscopy during anesthesia have the shorter average time to reach the carina, on securing a clear airway. The incidence of desaturation, hypertension and agitation were lower in sitting position during bronchoscopy. Conclusion Bronchoscopy anesthesia can reduce discomfort and fear, but traditional supine bronchoscopy anesthesia can cause displacement of the tongue, collapse of the upper airway in the oropharynx, soft palate and vocal cord related to gravity may seriously obstruct the upper airway, not only brings inconvenience to the inspection, but also increases the risk of airway correlation and hemodynamic instability, Sitting bronchoscopy ensure the airway patency and maintain a more stable hemodynamic state, so that sitting position in the sedation of bronchoscopy anesthesia is safer and more convenient.
