期刊
ANAESTHESIA
卷 71, 期 12, 页码 1456-1463出版社
WILEY
DOI: 10.1111/anae.13626
关键词
cervical fracture: intubation techniques; difficult airway algorithm; failed intubation: treatment; rigid fibreoptic scopes; simulated difficult airway
资金
- Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, Switzerland
We compared the Bonfils (TM) and SensaScope (TM) rigid fibreoptic scopes in 200 patients with a simulated difficult airway randomised to one of the two devices. A cervical collar inhibited neck movement and reduced mouth opening to a mean (SD) of 23 (3) mm. The primary outcome parameter was overall success of tracheal intubation; secondary outcomes included first-attempt success, intubation times, difficulty of intubation, fibreoptic view and side-effects. The mean (95% CI) overall success rate was 88 (80-94)% for the Bonfils and 89 (81-94)% for the SensaScope (p = 0.83). First-attempt intubation success rates were 63 (53-72)% for the Bonfils and 72 (62-81)% for the SensaScope (p = 0.17). Median (IQR [ range]) intubation time was significantly shorter with the SensaScope (34 (20-84 [ 5-240]) s vs. 45 (25-134 [ 12-230]) s), and fibreoptic view was significantly better with the SensaScope (full view of the glottis in 79% with the SensaScope vs. 61% with the Bonfils). This might be explained by its steerable tip and the S-formed shape, contributing to better manoeuvrability. There were no differences in the difficulty of intubation or side-effects.
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