Airtraq Video Laryngoscope for Nasotracheal Intubation in Patients With Obstructive Sleep Apnea and Hyperpnoea Syndrome:Prospective Randomized Controlled Trial
10.3969/j.issn.1009-6604.2018.02.001
- VernacularTitle:Airtraq可视喉镜用于鼾症患者经鼻气管插管的前瞻性随机对照研究
- Author:
Chun XIA
1
;
Zhuonan SUN
Author Information
1. 北京大学第三医院麻醉科
- Keywords:
Airtraq video laryngoscope;
Macintosh laryngoscope;
Nasotracheal intubation;
Obstructive sleep apnea and hyperpnoea syndrome
- From:
Chinese Journal of Minimally Invasive Surgery
2018;18(2):97-100
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of nasotracheal intubation between Airtraq video laryngoscope and Macintosh laryngoscope in patients with obstructive sleep apnea and hyperpnoea syndrome(OSAHS). Methods A total of 60 patients with OSAHS receiving nasotracheal intubation were randomly divided into two groups: the group M was intubated with Macintosh laryngoscope and the group A was intubated with Airtraq video laryngoscope.The blood pressure and heart rate were recorded before induction(T0),before intubation(T1),immediately after intubation(T2),first minute(T3)and fifth minute(T4)after intubation. The intubation time,Cormach-Lehane scale,external laryngeal press,use of magil forceps and the incidence of blood on laryngoscope were recorded. Results The systolic pressure and heart rate at T 2,T3and T4were significantly higher than T1in the group M(P<0.05),but no significant changes were found among T 2,T3and T4in the group A(P>0.05).The systolic pressure was significantly different between the two groups at T 2and T3(P<0.05).The heart rate was significantly different between the two groups at T 2,T3 and T4(P<0.05).The diastolic pressure was not significantly different between the two groups(P >0.05).The laryngoscope exposure scale in the group A was significantly superior to the group M(Z=-4.935,P=0.000).The intubation time in the group A(30.4 ±9.0)s was significantly less than that in the group M[(42.3 ±16.5)s, t =-3.468, P =0.000]. Conclusion Nasotracheal intubation with Airtraq video laryngoscope has less influence on hemodynamics,shorter intubation time and easier performance as compared with Macintosh laryngoscope in patients with OSAHS.
