Related Articles
Abstract
Study Objective
To compare the larynoscope video of the and the standard fiber fibrous (FFS) scope with an eye piece (but without a camera or video screen) to patients with cervical spinal surgery being incorporated with inline hand stabilization. The final key point was the time to achieve the successful intrusion of trauma. Secondary end points included a glottic scene at implantation and the number of intubation efforts.
Click here: Fiber Optic Laryngoscope Wholesale
Patients
One hundred and forty patients (the physical status of the Anaesthesiologists Association I-III), aged between 18 and 80 years undergoing optional cervical spine surgery.
Mediation
Random randomization of patients was obtained to undergo traceal exploration using FFS (n = 70) or video laryngoscope (n = 70).
Measurements
Following an advance airway evaluation, a standardized induction sequence for patients was carried out. The thermal scene was assessed when the tracheal tube placement was using the Cormack-Lehane and the percentage of the scoring systems open. In addition, the time required for the insertion of the trachea tube, the number of induction efforts to confirm the route, the need for adjuvant airway devices, hemodynamic changes, adverse events, and any trauma were recorded. associated with an airway.
Main results
The glottic scene did not differ significantly at the time of absorption and the 2 devices; nevertheless, the C-MAC facilitated more invasive trauma faster than the FFS (P = .001). The heart rate peak response was reduced following the insertion of the trachex tube (P = .004) in a C-MAC group (vs FFS).
Conclusion
The C-MAC can offer an advantage over the FFS in terms of the time needed to get a glazed scene and successfully get the tracheal tube in patients who want cervical spinal immobilizers.
The previous article in the issue edition
Introduction
It was reported that the video laryngoscopy Storz (VL) facilitates tracheal implantation in patients with cervical spinal abnormalities by allowing for indirect visualization of the glazed structures without the need to align the orphharyngeal and largageal axes. In this portable VL there is a standard Macintosh blade with complementary metal oxide semiconductor video chips at the tip which extends an optical axis of 60 ° in the vertical plane to visual display. VL techniques in trache preparation are now increasingly popular where the visualization of glasses structures may present problems. This approach may also be useful in reducing cervical spine motion during patient implantation with acute cervical pathology.
The flexible fiber scope (FFS) has long been regarded as a “gold standard” for patients requiring cervical spinal abnormal requiring spinal immobilizations. However, there are varying degrees of cervical movement associated with FFS and maneuvers commonly used to increase the pharmaceutical space. In addition, the use of FFS requires additional, specialized training, and reports some studies that high incidence is eliminated with the FFS. Interestingly, there is no scientific evidence to support better clinical outcomes in patients with cervical spinal disease and set aside by FFS compared to other commonly used airway devices. A more convenient option for the FFS would benefit aircraft emergency management for patients with cervical disease.
Early clinical trials with VL suggested that in patients with limited interconnector area and cervical spine clearance, it could provide a better view compared to a direct laryngoscopy (DL). While DL was compared using the normal Macintosh and VL standard in patients requiring cervical spinal immobilizations, the study to date does not compare with VL with FFS. Therefore, we realized that the use of VL would reduce the time needed to achieve successful tracing of traceal compared to FFS in patients undergoing cervical spine surgery with manual inline stabilization (MIS). The secondary objectives were to compare the visualization scores of glasses during implantation, the number of induction efforts required, and the need for auxiliary airway devices.
For more information visit our website Fiber Optic Laryngoscope Wholesale
