Application of HC-videolaryngoscopy in nasotracheal intubation for patients with predicted difficult airway undergoing oral maxillofacial surgery
10.3969/j.issn.1001-3733.2015.06.021
- VernacularTitle:HC 可视喉镜在口腔颌面外科困难气道患者经鼻腔气管插管的应用
- Author:
Xudong YANG
;
Ruichang LIU
;
Ling GAO
;
Zhenzhen LI
;
Xiaodong WANG
- Publication Type:Journal Article
- Keywords:
Videolaryngoscopy;
Nasotracheal intubation;
Difficult airway;
Oral and maxillofacial surgery
- From:
Journal of Practical Stomatology
2015;(6):833-836
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the efficacy of HC-videolaryngoscopy in nasotracheal intubation for patients with predicted diffi-cult airway undergoing oral maxillofacial surgery.Methods:70 patients undergoing oral maxillofacial surgery with predicted difficult airway were enroled and randomly divided into 2 groups(n =35).Nasotacheal intubation was performed with HC-videolaryngoscopy (group VL)and Macintosh laryngoscopy(group ML)respectively.The duration and success rate of intubation,degree of glottis expo-sure,hemodynamic response as well as intubation related complications were evaluated.Results:There was higher success rate of first attempt(P <0.05),shorter intubation duration(P <0.05)and fewer frequency of multiple intubation(P <0.05)in group VL than in group ML.During intubation,the first and the best Cormack-Lehane laryngeal view was better in group VL(P <0.05)and less intuba-tion assistance was required in group VL(P <0.05).1 3 patients in group ML were intubated with VL after failure of the first attempt with ML.Conclusion:HC-videolaryngoscopy is safe and effective in the nasotracheal intubation for the patients with predicted difficult airway undergoing oral maxillofacial surgery.
