CAJ | 학술논문

目的比较光棒和McCoy可调喉镜用于困难气道伴口腔活动性出血的气管插管效果.方法经一名麻醉主治医生使用普通喉镜两次插管失败的口腔活动性出血外伤手术患者30例,随机(随机数字法)分成光棒(LW)组和McCoy可调喉镜(MC)组(n=15).记录两组插管成功率和插管时间.结果 LW组一次和总插管成功率均高于MC组(14/15比6/15,P=0.005;15/15比9/15,P=0.017).LW组插管时间短于MC组[24(23,34)s比48(31,119)s,P=0.011].MC组中有6例患者插管失败改用光棒插管成功.结论光棒是困难气道伴口腔活动性出血患者建立人工气道的有效方法.
목적 비교광봉화McCoy가조후경용우곤난기도반구강활동성출혈적기관삽관효과.방법 경일명마취주치의생사용보통후경량차삽관실패적구강활동성출혈외상수술환자30례,수궤(수궤수자법)분성광봉(LW)조화McCoy가조후경(MC)조(n=15).기록량조삽관성공솔화삽관시간.결과 LW조일차화총삽관성공솔균고우MC조(14/15비6/15,P=0.005;15/15비9/15,P=0.017).LW조삽관시간단우MC조[24(23,34)s비48(31,119)s,P=0.011].MC조중유6례환자삽관실패개용광봉삽관성공.결론 광봉시곤난기도반구강활동성출혈환자건립인공기도적유효방법.
Objective To compare the rates of successful intubation between light-stylet and adjustable McCoy laryngoscope for the management of difficult airway with active oral bleeding. Method Thirty casualties traumatized with active oral bleeding were enrolled after failure of endotracheal intubation tried twice by an attending doctor with Macintosh laryngoscope. The patients were randomly( random number) divided into light-stylet (LS)group and McCoy laryngoscope(MC) group ( n = 15 in each group). The rate of successful intubation and the time consumed for intubation were recorded. Results The rate of successful intubation at the first attempt and the total rate of successful intubation in LS group were higher than those in MC group (14/15 vs. 6/15, P =0.005, 15/15 vs. 9/15, P =0.017, respectively). The time consumed for intubation was less in LS group than that in MC group (24 seconds in average,ranged from 23 ～ 34 seconds vs 48 seconds in average, ranged from 31 ～ 119 seconds, P =0.011). Conclusions The light-stylet is a novel tool for intubation in casualties with difficult airway and active oral bleeding with high success rate.