To shape or not to shape ... Simulated bougie-assisted difficult intubation in a manikin

被引：13

作者：

Hodzovic, I ^{[1
]}

Wilkes, AR ^{[1
]}

Latto, IP ^{[1
]}

机构：

[1] Univ Wales Hosp, Dept Anaesthet & Intens Care Med, Cardiff CF14 4XW, S Glam, Wales

来源：

ANAESTHESIA | 2003年 / 58卷 / 08期

关键词：

equipment; gum elastic bougie; intubation; tracheal;

D O I：

10.1046/j.1365-2044.2003.03204.x

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Thirty anaesthetists attempted to place a derived 'optimal' curve bougie or a straight bougie in the trachea of a manikin, in a randomised cross-over study. A Grade 3 Cormack and Lehane laryngoscopic view was simulated. The anaesthetists were blinded to success ( tracheal placement) or failure ( oesophageal placement). The success rates with the curved and straight bougies were 83 and 7%, respectively, giving a difference (95% confidence interval) of 77% (54-87%) between the two bougies ( p < 0.0001). On a separate occasion, under identical laboratory conditions, 30 anaesthetists attempted to place a straight coude ( angled)-tipped bougie or a straight straight-tipped bougie in the trachea of a manikin. The success rates with the coude- and straight-tipped bougies were 43 and 0%, respectively, giving a difference ( 95% confidence interval) of 43% (21-61%) between the two bougies ( p < 0.001). These results suggest that bougies used to facilitate difficult intubation should be curved and have a coude tip.

引用

页码：791 / 797

页数：7

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