Applicaion of Mouth Opener Combined With Electronic Video Laryngoscope in Double-lumen Intubation of Patients With Difficult Airway
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Glottis exposure time
研究概览
简要总结
How to quickly expose glottis and accurately insert double luminal tracheal tube in patients with difficult airway in thoracoscopic surgery has become an urgent problem in anesthesia induction.This study through the double cavity bronchial tube visual laryngoscope intubation with open mouth and electronic video laryngoscope used in combination, to explore whether can shorten the glottis exposure, improve the success rate of the double lumen tube intubation will reduce pharyngeal damage, reduce intubation hemodynamic fluctuations, in order to improve the glottis appeared difficult patients with bronchial intubation success rate to provide the reference.
详细描述
A total of 60 patients who needed double-lumen endobronchial catheterization in thoracic department and whose Arne o 'risk index score was at least 7 points were randomly divided into three groups.Group B was intubated with video laryngoscopy.Group C was intubated with a mouth opener for video laryngoscope combined with a double-lumen bronchial tube for video laryngoscope intubation (hereinafter referred to as the mouth opener).The glottis exposure time, bronchial intubation time, intubation times, success rate of one intubation, and NRS score of pharyngeal pain 8 hours after surgery were observed and recorded in the three groups, and the hemodynamic changes after intubation were observed and recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Diagnosis of early lung cancer
- •Ages ranged from 30 to 80
排除标准
- •Pregnancy
- •Prediction of difficulty in mask ventilation
- •Chest X-ray examination of trachea, bronchial anatomical abnormalities or tumor compression caused by trachea/bronchial deformation
- •Failure of assessing Arne risk index
结局指标
主要结局
Glottis exposure time
时间窗: through study completion, an average of 1 minute
One-time success rate of intubation
时间窗: through study completion,an average of 1 minute
Bronchial intubation time
时间窗: through study completion,an average of 1 minute
The number of intubation
时间窗: through study completion,an average of 1 minute
Glottic field grading
时间窗: through study completion,an average of 1 minute
Cormack-Lehane grading, C-L1：Can see glottis mostly；C-L2：Only the posterior union of the glottis is visible, not the glottis, and at most the cartilago arytaenoidea is visible when the larynx is lightly pressed；C-L3： can't see any part of the glottis, only the epiglottis； C-L4：No part of the larynx can be seen
次要结局
未报告次要终点
研究者
Zhuan Zhang
Clinical Professor
Yangzhou University