굴곡기관지경을 이용한 기관내삽관시 보조 기도유지장치의 유용성 (Effect of the separated airway on the Intubating condition in fiberoptic bronchoscope-guided intubation fiberoptic intubation using separated airway)

서지정보

· 발행기관 : 대한마취통증의학회
· 수록지 정보 : Anesthesia and Pain Medicine / 6권 / 3호 / 298 ~ 302페이지
· 저자명 : 김재연, 도왕석, 백승훈, 백승완, 이현정

초록

Background: Fiberoptic bronchoscope guided intubation is an important method of difficult airway management. The use of specific airways has been devised to assist the fiberoptic intubation. The authours compared effectiveness of separated airway with fiberoptic bronchoscope guided intubation and the hemodynamic responses.
Methods: 104 adult patients of American Society of Anesthesiologists grading (ASA) I-II who scheduled for surgery under general anesthesia were randomly divided into the Laryngoscope group (L group, n = 30) or the Fiberoptic bronchoscope group (F group, n = 36) or the Fiberoptic bronchoscope with separated airway (MF group, n = 38). A Fiberoptic bronchoscope guided intubation and a fiberoptic bronchoscope with separated airway and a direct laryngoscope was performed after inducing anesthesia. Intubation time, Jaw thrust incidence, mean blood pressure and heart rate after anaesthesia induction, at intubation and every two minute for a further 7 min were recorded.
Results: The intubation time was significantly shorter in the MF group (58.3 ± 13.7 sec) than F group (71.9 ± 22.1 sec). Jaw thrust incidence was lower in the MF group (60.5%) than F group (100%).
The changes of MAPs and HRs during the observation were not significantly different in three group.
Conclusions: Fiberoptic intubation using separated airway reduced intubation time and the incidence of jaw thrust. (Anesth Pain Med 2011; 6: 298∼302)

영어초록

Background: Fiberoptic bronchoscope guided intubation is an important method of difficult airway management. The use of specific airways has been devised to assist the fiberoptic intubation. The authours compared effectiveness of separated airway with fiberoptic bronchoscope guided intubation and the hemodynamic responses.
Methods: 104 adult patients of American Society of Anesthesiologists grading (ASA) I-II who scheduled for surgery under general anesthesia were randomly divided into the Laryngoscope group (L group, n = 30) or the Fiberoptic bronchoscope group (F group, n = 36) or the Fiberoptic bronchoscope with separated airway (MF group, n = 38). A Fiberoptic bronchoscope guided intubation and a fiberoptic bronchoscope with separated airway and a direct laryngoscope was performed after inducing anesthesia. Intubation time, Jaw thrust incidence, mean blood pressure and heart rate after anaesthesia induction, at intubation and every two minute for a further 7 min were recorded.
Results: The intubation time was significantly shorter in the MF group (58.3 ± 13.7 sec) than F group (71.9 ± 22.1 sec). Jaw thrust incidence was lower in the MF group (60.5%) than F group (100%).
The changes of MAPs and HRs during the observation were not significantly different in three group.
Conclusions: Fiberoptic intubation using separated airway reduced intubation time and the incidence of jaw thrust. (Anesth Pain Med 2011; 6: 298∼302)

참고자료

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