The effect of the jaw-thrust manoeuvre on the ability to advance a tracheal tube over a bronchoscope during oral fibreoptic intubation

被引：21

作者：

Han, S. H. ^{[1
]}

Oh, A. Y. ^{[1
]}

Jung, C. W. ^{[2
]}

Park, S. J. ^{[1
]}

Kim, J. H. ^{[1
]}

Nahm, F. S. ^{[1
]}

机构：

[1] Seoul Natl Univ, Bundang Hosp, Dept Anaesthesiol & Pain Med, Songnam, South Korea

[2] Seoul Natl Univ Hosp, Dept Anaesthesiol & Pain Med, Seoul 110744, South Korea

来源：

ANAESTHESIA | 2013年 / 68卷 / 05期

关键词：

OROTRACHEAL INTUBATION; AIRWAY;

D O I：

10.1111/anae.12176

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

During fibreoptic intubation, it is often difficult to advance a tracheal tube over the fibreoptic bronchoscope. We performed a prospective randomised study to investigate the effect of the jaw-thrust manoeuvre on the ability to advance a tracheal tube during oral fibreoptic intubation. After placing the bronchoscope in the trachea, an assistant randomly applied a jaw-thrust manoeuvre (jaw-thrust group) or sham manoeuvre (control group) in 82 patients during tube advancement. The jaw-thrust group had a higher success rate on the first attempt (70.7% vs 34.1%, p=0.002), required fewer attempts (median (IQR [range]) 1 (12 [13]) vs 2 (13 [14]), p<0.001), and took less time [6 (48 [216]) s vs 10 (715 [340]) s, p<0.001] for tube advancement compared with the control group. The jaw-thrust manoeuvre facilitates the advancement of a tracheal tube over the bronchoscope during oral fibreoptic intubation.

引用

页码：472 / 477

页数：6

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