麻醉医师的经验作为视频喉镜操作困难预测因素的研究
Experience of an anesthesiologist as a predictor of difficulty during videolaryngoscopy.
文献信息
| PMID | 42960363 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Rashmi Salhotra |
| 作者单位 | Department of Anaesthesiology and Critical Care, University College of Medical Sciences (UCMS) and Guru Teg Bahadur (GTB) Hospital, Delhi, India. |
| 期刊 | Saudi journal of anaesthesia |
| SCI 分区 | Q3 |
| IF | 1.6 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
背景与目的： 使用视频喉镜进行气管插管不需要像直接喉镜那样使口咽-喉轴对齐。因此，直接喉镜插管困难的预测因素可能不适用于预测视频喉镜插管困难。本研究旨在评估麻醉医师的工作年限对KingVision视频喉镜引导下气管插管过程中所遇困难的影响。
方法： 这项前瞻性随机研究在一家三级教学医院进行，纳入88例同意参与的成年患者，性别不限，ASA身体状况分级I-III级，Mallampati评分I-IV级，计划接受需要全身麻醉并气管插管（TI）的择期手术。患者被随机分为两组：C组（由顾问医师插管）或R组（由住院医师插管）。遵循标准麻醉技术，所有插管均使用KingVision视频喉镜完成。采用卡方检验/Fisher精确检验比较两组困难插管的比例。定量参数采用单因素方差分析后行Tukey检验及Mann-Whitney U检验进行分析。P值<0.05被认为具有统计学意义。
结果： 两组困难插管比例（P=0.668）、首次尝试成功率（P=0.799）及插管困难评分（P=0.990）相当。喉镜操作时间、导管置入时间及插管时间也相当。
结论： 麻醉医师的工作年限对KingVision视频喉镜引导下气管插管过程中所遇困难没有影响。
英文摘要
BACKGROUND AND AIM: Tracheal intubation using a videolaryngoscope does not require the alignment of the Oro-pharyngeal-laryngeal axes as is the case with direct laryngoscopes. The predictors of difficult direct laryngoscopy may thus, not be applicable to predict a difficult videolaryngoscopy. This study aims to assess the effect of years of experience of an anesthesiologist on the difficulty encountered during KingVision videolaryngoscope guided tracheal intubation.
METHODS: This prospective randomized study was conducted in a tertiary care teaching institute on 88 consenting adult patients of either sex and ASA physical status I-III and Mallampatti score I-IV scheduled for elective surgical procedures requiring G A with tracheal intubation (TI). Patients were randomized to one of the two groups, group C (intubation by a consultant) or group R (intubation by resident). Standard anesthesia technique was followed and KingVision videolaryngoscope was used to perform all intubations. Proportion of difficult intubations in each group was compared using Chi square/Fisher's exact test. Quantitative parameters were analyzed using one-way ANOVA followed by Tukey's test and Mann Whitney's U-test. A P value < 0.05 was considered significant.
RESULTS: The proportion of difficult intubations (P = 0.668), first attempt success rate (P = 0.799) and intubation difficulty score (P = 0.990) were comparable between the two groups. Laryngoscopy time, tube insertion time and intubation time was also comparable.
CONCLUSION: The years of experience of an anesthesiologist was found to have no effect on the difficulty encountered during KingVision videolaryngoscope guided tracheal intubation.