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用于清醒鼻气管插管的柔性鼻喉镜
用于清醒鼻气管插管的柔性鼻喉镜
JoVE Journal
Medicine
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JoVE Journal Medicine
The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation

用于清醒鼻气管插管的柔性鼻喉镜

Full Text
2,398 Views
03:58 min
August 2, 2024

DOI: 10.3791/66875-v

Caius Mihai Breazu1,2,3, Ioan Florin Marchis2,3,4, Matei Florin Negrut4, Mirela Crihan1,2,5, Alexandru Leonard Alexa1,2,5, Cristina Maria Blebea6

11st Department of Anesthesia and Intensive Care,“Iuliu Haţieganu” University of Medicine and Pharmacy, 2Research Association in Anesthesia and Intensive Care (ACATI), 3Department of Anesthesia and Intensive Care “Clinicilor 4-6”,Cluj County Emgency Clinical Hospital, 4“Iuliu Haţieganu” University of Medicine and Pharmacy, 5Department of Anesthesia and Intensive Care,“Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology, 6Otorhinolaryngology Department,“Iuliu Hatieganu” University of Medicine and Pharmacy

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Please note that some of the translations on this page are AI generated. Click here for the English version.

Overview

This article presents a protocol for awake nasotracheal intubation using a flexible rhino-laryngoscope. This method is minimally invasive, well-tolerated, and safe for patients with difficult airways.

Key Study Components

Area of Science

  • Anesthesia
  • Airway management
  • Clinical protocols

Background

  • Awake intubation is often underused despite its benefits.
  • Flexible rhino-laryngoscopes can improve maneuverability.
  • This technique may serve as an alternative to conventional methods.
  • Shorter scopes decrease the likelihood of buckling.

Purpose of Study

  • To investigate the feasibility of awake nasal tracheal intubation.
  • To promote broader adoption of this technique in clinical practice.
  • To assess the advantages of using a flexible rhino-laryngoscope.

Methods Used

  • Protocol development for awake intubation.
  • Comparison with conventional fiber optic bronchoscopy.
  • Evaluation of the flexible rhino-laryngoscope's performance.
  • Patient tolerance and safety assessments.

Main Results

  • Awake intubation with the flexible scope is fast and safe.
  • Patients tolerate the procedure well.
  • Improved maneuverability enhances the procedure's effectiveness.
  • Potential for increased clinical adoption of the technique.

Conclusions

  • The flexible rhino-laryngoscope is a viable alternative for intubation.
  • Awake intubation can be performed safely and efficiently.
  • Further research may encourage its use in difficult airway management.

Frequently Asked Questions

What is awake nasotracheal intubation?
Awake nasotracheal intubation is a technique used to secure the airway while the patient is conscious.
Why use a flexible rhino-laryngoscope?
It offers improved maneuverability and is less likely to buckle during the procedure.
Is this method safe?
Yes, studies indicate that it is well-tolerated and safe for patients with difficult airways.
How does this compare to fiber optic bronchoscopy?
The flexible rhino-laryngoscope is simpler and more economical, making it a practical alternative.
What are the main benefits of this technique?
It is fast, safe, and minimizes invasiveness while improving patient comfort.
Can this technique be performed with one hand?
Yes, it allows the operator to use one hand while adjusting the patient's head with the other.

这里介绍的是使用工作长度为 300 mm 的柔性鼻喉镜进行清醒鼻气管插管的方案。由于该工具微创且易于操作,因此使用柔性鼻喉镜进行的清醒插管对于困难气道的患者耐受性良好、快速且安全。

本研究旨在全面描述使用柔性鼻喉镜的清醒鼻气管插管技术。我们建议这种方法可以作为传统光纤支气管镜的安全、简单和经济的替代方案。尽管清醒气管插管有公认的益处,但在临床实践中仍未得到充分利用。

本研究旨在调查更短、更灵活的范围是否可以使该程序更易于访问和实用,从而鼓励其更广泛地采用。较短的瞄准镜可以提高机动性并降低屈曲的可能性。它可以用一只手操作,另一只手可以自由地调整患者的头部。

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