지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 271 - 274 (4page)
이용수
초록· 키워드
오류제보하기
Background: OptiscopeTM is a semi-rigid fiberscope for endotracheal intubation. A camera attached to the distal end of the stylet shows the laryngeal view through an adjustable LCD-monitor attached at the handle. The aim of this study was to evaluate the learning curve of skilled anesthesiologists in the use of OptiscopeTM. Methods: Eighty-patients with normal airways were randomly assigned to four anesthesiologists, who did not have previous experience of intubation with OptiscopeTM. After induction of general anesthesia, the four investigators performed 20 intubations each, using the OptiscopeTM. Time to intubation (TTI), number of intubation attempts, and reasons of prolonged TTI were evaluated. Results: The success rate of intubation was 98.8%. The TTI was significantly faster in 16th–20th patients (35.0 s, interquartile range 27.3–41.4) than in the first 10 patients (54.1 s, interquartile range 31.2–75.5) (P = 0.006). All patients after the 16th intubation were intubated at the first attempt. Frequent problems encountered were difficulty in getting the stylet tip under the epiglottis, and mucous secretion obscuring the laryngeal anatomy. Conclusions: OptiscopeTM is an effective device for endotracheal intubation. About 15 intubations in patients with normal airways provided clinically adequate experience to the skilled anesthesiologists. Additional maneuver of airway opening such as jaw thrust and sufficient removal of oral secretion, are suggested to reduce TTI.
목차
등록된 정보가 없습니다.
참고문헌 (9)
참고문헌 신청
Benumof JL / 1991 / Management of the difficult adult airway. With special emphasis on awake tracheal intubation / Anesthesiology 75:1087~1110
전주현 / 2015 / Awake endotracheal intubation using a video-assisted intubating stylet in a patient with a large supraglottic mass -A case report- / Anesthesia and Pain Medicine 10(3):219~222
김은석 / 2009 / 갑상선절제술 후 혈종으로 인한 어려운 기관내 삽관 시 Pentax-AWS의 사용 -증례 보고- / Anesthesia and Pain Medicine 4(3):272~275
최윤숙 / 2016 / Difficult endotracheal intubation secondary to tracheal deviation and stenosis in a patient with severe kyphoscoliosis -a case report- / Korean Journal of Anesthesiology 69(4):386~389
Corbanese U / 2009 / The Bonfils intubation fibrescope : clinical evaluation and consideration of the learning curve / Eur J Anaesthesiol 26:622~624
전주현 / 2015 / Awake endotracheal intubation using a video-assisted intubating stylet in a patient with a large supraglottic mass -A case report- / Anesthesia and Pain Medicine 10(3):219~222
김은석 / 2009 / 갑상선절제술 후 혈종으로 인한 어려운 기관내 삽관 시 Pentax-AWS의 사용 -증례 보고- / Anesthesia and Pain Medicine 4(3):272~275
최윤숙 / 2016 / Difficult endotracheal intubation secondary to tracheal deviation and stenosis in a patient with severe kyphoscoliosis -a case report- / Korean Journal of Anesthesiology 69(4):386~389
Corbanese U / 2009 / The Bonfils intubation fibrescope : clinical evaluation and consideration of the learning curve / Eur J Anaesthesiol 26:622~624
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