CAJ | 학술논문

目的：探索lightwand光棒气管插管用于急救插管的可行性及所需的时间。方法由熟练掌握光棒技术气管插管的麻醉医师进行插管，45例急救患者根据患者病情决定是否使用镇静剂和肌松剂诱导插管。呼吸心跳骤停和深度昏迷没有明显吞咽反射的患者直接使用光棒插管。浅昏迷或清醒的需要气管插管辅助机械通气的患者采用静脉诱导后插管，记录从开始提下颌操作到气管导管置入的时间和一次成功率。结果应用光棒插管成功率是97.78%(44/45)，1例因饱胃大量胃内容物堵塞口腔改为喉镜明视下插管。光棒插管所用时间是（16.13±3.86）秒。结论光棒插管技术简便易行，可用于开口度小和头颈部活动受限的患者，对于操作者空间要求不高，但是仍然需要预备好喉罩喉镜等应急措施。
목적：탐색lightwand광봉기관삽관용우급구삽관적가행성급소수적시간。방법유숙련장악광봉기술기관삽관적마취의사진행삽관，45례급구환자근거환자병정결정시부사용진정제화기송제유도삽관。호흡심도취정화심도혼미몰유명현탄인반사적환자직접사용광봉삽관。천혼미혹청성적수요기관삽관보조궤계통기적환자채용정맥유도후삽관，기록종개시제하합조작도기관도관치입적시간화일차성공솔。결과응용광봉삽관성공솔시97.78%(44/45)，1례인포위대량위내용물도새구강개위후경명시하삽관。광봉삽관소용시간시（16.13±3.86）초。결론광봉삽관기술간편역행，가용우개구도소화두경부활동수한적환자，대우조작자공간요구불고，단시잉연수요예비호후조후경등응급조시。
Objective To explore the feasibility and time required for lightwand-guided tracheal intubation used in the emergency cases.Methodan experienced anesthesiologist underwent training for an airway management technique that involved lightwand-guided tracheal intubation via laryngoscope. The use of muscle relaxant and sedatives drug depended on the condition of the 45 patients who was in need of tracheal intubation. direct lightwand-guided tracheal intubation was applied for patients with cardiac arrest and deep coma while those who were conscious or in light coma were intubated by muscle relaxant and sedatives drugs. The duration of the intubation process was recorded.Result success rate of lightwand-guided tracheal intubation is 97.78%(44/45).intubation under laryngoscope was applied in one case instead because the patient’s mouth was full of food scraps. Time for the lightwand-guided tracheal intubation is(16.13±3.86)seconds. conclusion lightwand-guided tracheal intubation used in emergency cases is simple and feasible and makes it easier to get access to the patients with small mouth opening and limited neck mobility. it can also help maintain a stable circulatory function in patients, while laryngeal mask airway(lma) and laryngoscope are still needed in case of contingency.Conclusion lightwand-guided tracheal intubation used in emergency cases is simple and feasible,making it easier to get access to the patients with small mouth opening and limited neck mobility. it can also help maintain a stable circulatory function in patients, while laryngeal mask airway(lma) and laryngoscope are still needed in case of contingency.laryngoscope are still needed in case of contingency.