Intubation Times
Conditions
Keywords
Intubation, Ffiberoptic, Perioperative, Sore throat, Success rate
Brief summary
Fiberoptic intubation is an important method for anesthesiologists to deal with difficult airways, but its operation is difficult and requires repeated practice. Fiberoptic intubation is performed in two steps. First, the anesthesiologist holds the bronchoscope and exposes the base of the tongue, the epiglottis, and the glottis successively according to the front camera of the bronchoscope. Through the glottis, the main trachea is exposed to the carina. This process is visual and the anesthesiologist can see the main tissue structure directly. Then, the endotracheal catheter enters the endotracheal along the bronchoscope, and the process of endotracheal catheter entry is not visual. In clinical work, it was found that the tracheal catheter was easily blocked when it passed through the glottis, and it was necessary to adjust the position of the tracheal catheter for several times before the tracheal catheter could be sent into the tracheal tube, which was easy to cause throat injury in the process. At present, relevant studies are mainly focused on the first step of bronchoscopic intubation, how to quickly expose the glottis and complete the bronchoscopic guidance process. However, there is no clear mention of the situation of catatoning in the process of endotracheal catheter and how to solve the problem of catatoning.
Detailed description
According to the inclusion and exclusion criteria，collecting the data of participants who undergone fiberoptic intubation. The observer analysis the safety and efficiency of fiberoptic intubation.
Interventions
DEVICEfiberoptic
Tracheal intubation was performed with different outer diameters of fiberoptic.
Sponsors
Qinye Shi
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1.American Society of Anesthesiologists 1\ 2 2.18-60 year 3.Adult patients requiring general anesthesia for orotracheal intubation
Exclusion criteria
1. Limited mouth opening 2. limited movement of temporomandibular joint 3. abnormal glottic anatomy 4. polyps of vocal cords
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fiberoptic intubation attempts | during the procedure | This is used to observe the passage of the tracheal tube through the glottis |
| First intubation success rate | during the procedure | The incidence of tracheal tube through the vocal cords |
| Fiberoptic intubation time | during the procedure | The duration of the intubation process |
| Time of passage of tracheal intubation through glottis | during the procedure | The time the tracheal tube enters the trachea |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hoarseness after surgery | 24 hours after surgery | Patients were asked about voice changes 24 hours after surgery |
| Sore throat | 24 hours after surgery | Patients were asked about throat pain 24 hours after surgery |
Contacts
Primary Contactqinye shi doctor, MD
Outcome results
None listed