Tong Yiru,Zhang Haorong,Wang Guoqing,et al.Clinical efficacy of a novel technique of nasotracheal intubation under video laryngoscopy[J].Journal of Clinical Pediatric Surgery,,22():1184-1188.[doi:10.3760/cma.j.cn101785-202310001-016]
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Clinical efficacy of a novel technique of nasotracheal intubation under video laryngoscopy

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第22卷 Number: 2023 12 Page: 1184-1188 Column: 论著 Date of publication: 2023-12-28
Author(s):
Tong Yiru1;  Zhang Haorong2;  Wang Guoqing1;  Li Hongyun1;  Du Jinghui1;  Gu Zhiqing1;  Henry Liu3
1 Department of Anesthesiology, Shanghai Children’s Hospital, School of medicine, Shanghai Jiao Tong University, Shanghai 200062, China;
2 Department of Ultrasonography, Shanghai Children’s Hospital, School of medicine, Shanghai Jiao Tong University, Shanghai 200062, China;
3 Department of Anesthesiology & Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19102, USA
Keywords:
Intubation;  Intratracheal; Comparative Study; Child
DOI:
10.3760/cma.j.cn101785-202310001-016
Abstract:
Objective To explore whether or not a novel technique of nasotracheal intubation under video laryngoscopy might minimize epistaxis during nasotracheal intubation.Methods From May 2016 to December 2022,retrospective review was performed for the relevant clinical data of 40 children undergoing nasotracheal intubation by the same anesthesiologist at Shanghai Children’s Hospital.Age,gender,body weight,size of endotracheal tube,success rate of initial intubation,presence of epistaxis during intubation and subjective classification impression of intubation were recorded.They were assigned into two groups of novel technique and conventional technique based upon the specific mode of intubation (n=20 each).The authors examined whether or not the novel technique could boost success rate of initial intubation and minimize epistaxis.Results No significant inter-group difference existed in inner diameter of tracheal catheter [M(Q1,Q3),4.4(4.0,5.0) vs. 4.6(4.0,5.0) mm,P>0.05].The success rate of initial intubation was higher in novel technique group than that in conventional technique group (90% vs. 60%,P<0.05).Yet the incidence of epistaxis was lower than that in conventional technique group (15% vs. 45%,P<0.05).Subjective impression of intubation was more convenient than that in conventional technique group (constituent ratio,95% vs. 65%,P<0.05).Conclusions The novel technique of nasotracheal intubation under video laryngoscopy can improve the success rate of initial intubation and reduce epistaxis during intubation.

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Memo

收稿日期:2023-10-4。
基金项目:上海市儿童医院科研基金资助(2020YLY05)
通讯作者:张号绒,Email:tongyiru@hotmail.com

Last Update: 1900-01-01