Title: The application of lightwand intubation in plastic surgery
Abstract: Objective To observe the safety and effectiveness of lightwand in routine endotracheal intubation for plastic operations and its feasibility to predict the difficult endotracheal intubation.Methods 152 ASA I-II patients scheduled for elective plastic surgery under general anesthesia were enrolled in this study.124 amidst with normal airway were randomly divided into group A(60°) and group B(90°) according to the bent angle of the lightwand tip,and the other 28 predicted with difficult tracheal intubation were allocated into group C.The time and times of the tracheal intubation,and its succesuss ratio,together with the hemodynamic fluctuation and the complications arised during this period were recorded.Results The first-time intubation success rate of group A,B,and C was 100%,95.2%,85.7%respectively,while the total intubation success rate of all the three groups was 100%.The time used for a complete intubation in A,B,C was(11.8±4.9)s,(14.0±5.4)s,(17.4±8.1)s accordingly,from which,we can find that the time spent by group A is less than group B or C on light spot searching,lightwand withdrawing and trancheal intubating,and the interference of lightwand intubation against hemodynamic circulatory was slight and complications afterwards were low.Conclusion Featured with high success rate but short time consumption,lightwand can be used for routine tracheal intubation and prediction of difficult tracheal intubation in plastic operations for its slight influence to hemodynamics and few complications arised.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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