CAJ | 학술논문

目的探讨纤维支气管镜引导清醒气管插管后患者自行摆放俯卧位的可行性.方法选择30例需行全身麻醉下俯卧位手术的患者,采用纤维支气管镜引导清醒气管插管后,患者根据自身的舒适度配合医务人员摆放俯卧位,记录基础状态(T0)、插管过程(T1)、摆放体位(T2)时的收缩压、舒张压、心率最高值.并观察是否有呛咳反射和有无相关插管并发症.结果 30例患者中28例成功,2例放弃.成功患者无明显呛咳反射及相关插管并发症,T0、T1、T2时收缩压、舒张压、心率比较差异无统计学意义(P＞0.05).结论全身麻醉下俯卧位手术的患者,在纤维支气管镜引导下清醒气管插管后患者自行摆放俯卧位是一种可供选择的方法.
목적 탐토섬유지기관경인도청성기관삽관후환자자행파방부와위적가행성.방법 선택30례수행전신마취하부와위수술적환자,채용섬유지기관경인도청성기관삽관후,환자근거자신적서괄도배합의무인원파방부와위,기록기출상태(T0)、삽관과정(T1)、파방체위(T2)시적수축압、서장압、심솔최고치.병관찰시부유창해반사화유무상관삽관병발증.결과 30례환자중28례성공,2례방기.성공환자무명현창해반사급상관삽관병발증,T0、T1、T2시수축압、서장압、심솔비교차이무통계학의의(P＞0.05).결론 전신마취하부와위수술적환자,재섬유지기관경인도하청성기관삽관후환자자행파방부와위시일충가공선택적방법.
Objective To discuss the feasibility on putting the patients prone position by themselves after awake endotracheal intubation assisted by fiberoptic bronchoscope.Methods Thirty patients underwent general anesthesia prone position operation were selected.After awake endotracheal intubation assisted by fiberoptic bronchoscope,the patients according to their own comfort with the medical staff placed in prone position.The maximum data of systolic blood pressure,diastolic blood pressure and heart rate at basal state (T0),endotracheal intubation (T1) and making position (T2) were recorded.Reflection of tussis and complications of intubation were also recorded.Results In 30 patients,28 patients succeeded,and 2 patients failed.The patients succeeding had no reflection of tussis obviously and no complications of intubation.There were no statistical differences in systolic blood pressure,diastolic blood pressure and heart rate at T0,T1,T2 (P ＞ 0.05).Conclusion The patients prone position by themselves after awake endotracheal intubation assisted by fiberoptic bronchoscope is a better choice in patients undergoing general anesthesia prone position operation.