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The comparative study of glidescope combined with glowstick in trachea intubation of clinical anesthesia |
ZHAO Bo1 WU Yang1 GAO Wenwei2 HOU Jiabao1 ZHAN Liying1 |
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 |
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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.
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