Nasotracheal intubation with three indirect laryngoscopes assisted by standard or modified Magill forceps

被引：22

作者：

Staar, S. ^{[1
]}

Biesler, I. ^{[1
]}

Mueller, D. ^{[1
]}

Pfoertner, R. ^{[2
]}

Mohr, C. ^{[2
]}

Groeben, H. ^{[1
]}

机构：

[1] Kliniken Essen Mitte, Dept Anaesthesia Crit Care Med & Pain Therapy, Essen, Germany

[2] Kliniken Essen Mitte, Dept Oral & Craniomaxillofacial Surg Kliniken Ess, Essen, Germany

来源：

ANAESTHESIA | 2013年 / 68卷 / 05期

关键词：

DIFFICULT TRACHEAL INTUBATION; MACINTOSH LARYNGOSCOPE; AIRWAY MANAGEMENT; TUBE PLACEMENT; AIRTRAQ(R); GLIDESCOPE(R); METAANALYSIS; MANNEQUIN; BOUGIE;

D O I：

10.1111/anae.12175

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We assessed the effect of modifying standard Magill forceps on the laryngeal introduction of an Eschmann stylet during nasotracheal intubations with three indirect laryngoscopes (Airtraq, C-MAC (R) or GlideScope (R)) in patients with predicted difficult intubation. We allocated 50 participants to each laryngoscope. The stylet was advanced by one forceps followed by the other (standard or modified), with each sequence allocated to 25/50 for each laryngoscope. There were no differences in rates of failed tracheal intubation with the allocated laryngoscopes: 6/50, 5/50 and 5/50, respectively. An Eschmann stylet was advanced into the trachea less often with the standard forceps (65% vs 93%, p<0.0001). Mean (SD) time for stylet advancement was longer with the standard forceps, 38 (30) vs 19 (19) s, p<0.0001. In conclusion, the modified Magill forceps facilitated nasotracheal intubation, independent of the type of indirect laryngoscope.

引用

页码：467 / 471

页数：5

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