1.Department of Anesthesiology,Renmin Hospital of Wuhan University,Hubei Province,Wuhan 430060,China;
2.Department of Critical Care Medicine,Renmin Hospital of Wuhan University,Hubei Province,Wuhan 430060,China
Abstract:Objective To explore the comparative study of glidescope combined with glowstick in trachea intubation in intern students of clinical anesthesia. Methods Twenty-four intern students from September 2016 to April 2017 in Anesthesiology Department of Renmin Hospital of Wuhan University were randomly allocated into 4 groups by random numbers table method: normal intubation group (group G), glidescope intubation group (group A), glowstick intubation group (group B) and glidescope combined with glowstick intubation group (group C), with 6 each group. Before trachea intubation, according to the air way assessed by Mallampati and Comark-Lehane patients were divided into normal air way and difficult air way, 12 in each group. The successful rate and time of trachea intubation at the last week of 1,3 months and 6 months were recorded. Results After 1 month, the successful rate of intubation was no difference between four groups, however, the time of intubation was little longer in group B on normal air way (P < 0.05), the successful rate of intubation in group C were higher than other groups, all groups need more time for intubation on difficult air way (P < 0.05). After 3 months, there were no difference between four groups on normal air way (P > 0.05), the successful rate of intubation in four groups were increased than 1 month ago, but group C was still higher than other groups on difficult air way (P < 0.05). After 6 months, the successful rate of intubation in A, B and C groups was higher than that of the group G, group C was the highest group on difficult air way (P < 0.05). Conclusion Glidescope combined with glowstick can quickly improve the successful rate of trachea intubation for the abecedarian, and it has a great advantage in the intubation of patients with difficult air way.
[1] Lee J,Kim JY,Kang SY,et al. Stylet angulation for routine endotracheal intubation with McGrath videolaryngoscope [J]. Medicine (Baltimore),2017,96(7):e6152.
[2] Jiang H,Xue FS,Yang GZ,et al. Comparing performance of Bonfils fiberscope and GlideScope videolaryngoscope for awakeintubation [J]. J Clin Anesth,2017,36:10-11.
[3] 高进,李琪英,陈萍.可视化技术结合教学模型在气管插管带教中的应用[J].中华医学教育探索杂志,2012,11(9):928-930.
[4] Deutsch ES,Christenson T,Curry J,et al. Multimodality education for airway endoscopy skill development [J]. Ann Otol Rhinol Laryngol,2009,118(2):81-86.
[5] 柯昌斌,秦成名,王贤裕,等.麻醉医学专业本科生实践教学方法探索[J].中华医学教育杂志,2009,29(5):84-85.
[6] Kory PD,Eisen LA,Adachi M,et al. Initial airway management skills of senior residents:simulation training compared with traditionaltraining [J]. Chest,2007,132(6):1927-1931.
[7] Apfelbaum JL,Hagberg CA,Caplan RA,et al. Practice guidelines for management of the difficult airway:an updated report by the American Society ofAnesthesiologists Task Force on Management of the Difficult Airway [J]. Anesthesiology,2013,118(2):251-270.
[8] Heidegger T. Difficult Airway Society guidelines 2015:what about the anticipated difficult airway [J]. Anaesthesia,2016, 71(4):467-468.
[9] Mosier JM,Joshi R,Hypes C,et al. The Physiologically Difficult Airway [J]. West J Emerg Med,2015,16(7):1109-1117.
[10] Pandit JJ,Marshall SD. The 2015 Difficult Airway Society guidelines:what about the anticipated difficult airway? A reply [J]. Anaesthesia,2016,71(4):468-469.
[11] Vivek B,Sripriya R,Mishra G,et al. Comparison of success of tracheal intubation using Macintosh laryngoscope-assisted Bonfils fiberscope and Truview video laryngoscope in simulated difficult airway [J]. J Anaesthesiol Clin Pharmacol,2017,33(1):107-111.
[12] Rodrigues AJ,Scordamaglio PR,Palomino AM,et al. Difficult airway intubation with flexible bronchoscope [J]. Braz J Anesthesiol,2013,63(4):358-361.
[13] Vargas M,Pastore A,Aloj F,et al. A comparison of videolaryngoscopes for tracheal intubation in predicted difficult airway:a feasibility study [J]. BMC Anesthesiol,2017, 17(1):25.
[14] Ko JI,Ha SO,Koo MS,et al. Comparison of intubation times using a manikin with an immobilized cervical spine:Macintosh laryngoscope vs. GlideScope vs. fiberoptic bronchoscope [J]. Clin Exp Emerg Med,2015,2(4):244-249.
[15] Imajo Y,Komasawa N,Minami T. Efficacy of bronchofiberscope double-lumen tracheal tube intubation combined with McGRATH MAC for difficult airway [J]. J Clin Anesth,2015,27(4):362.
[16] Nakasuji M,Tanaka M,Imanaka N,et al. Efficacy and safety of AirWay Scope in using a bronchofiberscope in patients with difficult airway [J]. Masui,2009,58(3):346-348.
[17] Hanna SF,Mikat-Stevens M,Loo J,et al. Awake tracheal intubation in anticipated difficult airways:LMA Fastrach vs flexible bronchoscope:A pilot study [J]. J Clin Anesth,2017,37:31-37.
[18] Kus A,Gok CN,Hosten T,et al. The LMA-Supreme versus the I-gel in simulated difficult airway in children:a randomised study [J]. Eur J Anaesthesiol,2014,31(5):280-284.
[19] Onyekwulu FA,Nwosu AD. An overview on the use of the laryngeal mask airway amongst anaesthesia practitioners in a developing country [J]. Niger J Med,2013, 22(3):198-200.
[20] Turkstra TP,Cusano F,Fridfinnson JA,et al. Early Endotracheal Tube Insertion with the GlideScope:A Randomized Controlled Trial [J]. Anesth Analg,2016,122(3):753-757.
[21] Saroa R,Mitra S,Sinha S,et al. When everything failed, glidescope prevailed [J]. J Anaesthesiol Clin Pharmacol,2016,32(1):123-124.