Use of gum elastic bougie for prehospital difficult intubation
Use of gum elastic bougie for prehospital difficult intubation
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DOI：
10.1016/j.ajem.2004.12.005
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发表时间：
2005-07-01
影响因子：
3.6
通讯作者：
Dhonneur, G
中科院分区：
文献类型：
--
作者：
Jabre, P;Combes, X;Dhonneur, G
本研究的目的是评估牙龈弹性探条（GEB）在院前困难插管情况下的有效性。在对GEB操作进行假人培训后，建议医生在插管困难的情况下使用GEB作为首选技术。插管条件和需要GEB辅助喉镜检查的患者的详细信息记录超过30个月。在进行的1442次院外插管中，41例患者（3%）需要GEB。33例（78%）患者使用牙龈弹性探条成功插管，8例患者采用第二种替代技术。一个病人从未插管，另一个我需要抢救环甲膜切开术。24例（60%）GEB患者存在插管困难的相关因素，如颈椎活动度降低或受限、病态肥胖、颈面部创伤和耳、鼻、喉肿瘤。GEB的成功率分别为75%和94%，取决于是否存在插管困难的相关因素。未观察到与GEB使用相关的不良事件。(C)2005年爱思唯尔公司All rights reserved.
The objective of this study was to assess effectiveness of gum elastic bougie (GEB) in case of difficult intubation occurring in the prehospital settings. After manikin training to GEB handling, physicians were recommended to use GEB as first alternative technique in case of difficult intubation. Intubating conditions and details of patients requiring GEB-assisted laryngoscopy were recorded over 30 months. Among the 1442 extrahospital intubations performed, 41 patients (3%) required GEB. Gum elastic bougie allowed successful intubation in 33 cases (78%) and 8 patients sustained a second alternative technique. One patient was never intubated, another I required rescue cricothyroidotomy. Twenty-four (60%) GEB patients had associated factors for difficult intubation such as reduced or limited cervical spine mobility, morbid obesity, cervicofacial trauma, and ears, nose, and throat neoplasia. The success rate of GEB was 75% and 94%, respectively, depending on whether associated factors for difficult intubation are present or not. No adverse events associated to GEB use were noted. (C) 2005 Elsevier Inc. All rights reserved.