Title: The clinical application of orotracheal intubation in difficult airway with GlideScope videolaryngoscope
Abstract: Objective To introduce the clinical experience of the application of orotracheal intubation with GlideScope videolaryngoscope and observe its maneuverability,clinical application value and announcements.Methods 21 patients with ASA Ⅰ~Ⅲ,including 12 male patients and 9 female patients,with difficulty for traditional tracheal intubation identified before operation,were difficult airway by predicting before operation.All the patients received rapid sequence induction of anesthesia except that two of them received slow sequence induction of anesthesia.The orotracheal intubation was done with GlideScope videolaryngoscope after failure of using Macintosh direct laryngoscope.The time of tracheal intubation,the number of times of tracheal intubation and the Cormack grading were recorded by using GlideScope videolaryngoscope and Macintosh direct laryngoscope.Results The incidence of successful orotracheal intubation with GlideScope videolaryngoscope was 100%,while which was 0% in Macintosh direct laryngoscope.The Cormack grading was grade Ⅰ~Ⅱ in all patients with GlideScope videolaryngoscope,but the Cormack grading was grade Ⅱ~Ⅳ in all patients with Macintosh direct laryngoscope.The times of tracheal intubation were(29±22) s and(67±23)s,respectively.The number of times of tracheal intubation were 1 in 17 patients and 2 in 4 patients with GlideScope videolaryngoscope,however,the number of times of tracheal intubation was 2~4 in all patients,and all tracheal intubation was failed with Macintosh direct laryngoscope.Conclusion The orotracheal intubation with GlideScope videolaryngoscope is a new manipulation with simplicity,easy performance,little injury and clear visualization for the glottis.Moreover,it may have some clinical value in dealing with difficult airway.The GlideScope videolaryngoscope is suitable to be used in clinic.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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