Influence of Tracheal Intubation Guided with Light Wand on Hemodynamics in Patients with Obstructive Sleep Apnea Syndrome

Song Tao; Xiao Fan

Article Contents

Article Navigation > Journal of Kunming Medical University > 2016 > 37(12): 85-88

Song Tao , Xiao Fan . Influence of Tracheal Intubation Guided with Light Wand on Hemodynamics in Patients with Obstructive Sleep Apnea Syndrome[J]. Journal of Kunming Medical University, 2016, 37(12): 85-88.

Citation:

Song Tao , Xiao Fan . Influence of Tracheal Intubation Guided with Light Wand on Hemodynamics in Patients with Obstructive Sleep Apnea Syndrome[J]. Journal of Kunming Medical University, 2016, 37(12): 85-88.

Citation:

PDF( 174 KB)

Influence of Tracheal Intubation Guided with Light Wand on Hemodynamics in Patients with Obstructive Sleep Apnea Syndrome

Song Tao ¹,
Xiao Fan ²

Funds:

基金：江西省科技计划基金资助项目(2014112270108);

Received Date: 2016-09-16

Abstract

Abstract

Objective To evaluate the influence of tracheal intubation guided with light wand on hemodynamics in patients with obstructive sleep apnea syndrome.Methods Seventy-four patients with obstructive sleep apnea syndrome were randomly divided into light wand group(n=37) and laryngoscope group(n=37).The time to successful intubation, rate of successful intubation, changes of heart rate(HR), systolic blood pressure(SBP),diastolic blood pressure(DBP) and complications were compared in two groups.Results The time to successful intubation of light wand group was significantly shorter than that of laryngoscope group,while the rate of successful intubation in light wand group was significantly higher than that in laryngoscope group(P<0.05).The HR,SBP and DBP at T1 were significantly lower than those at T0 in two groups(P<0.05).The HR,SBP and DBP in two groups at T2,T3 were significantly higher than those at T1(P<0.05),and those indexes of light wand group were significantly lower than laryngoscope group at T2 and T3(P<0.05).The incidence rates of complications in light wand group were significantly lower than those in laryngoscope group(P<0.05).Conclusion Withthe advantage of higher success rate,shorter time to successful intubation,more stable hemodynamics and fewer complications,tracheal intubation guided with light wand is worthy of popularization and application in clinical.
- Light wand,
- Tracheal intubation,
- Laryngoscope,
- Obstructive sleep apnea syndrome,
- Hemodynamics

FullText(HTML)

References(15)

References

[1]吕东东,袁峰.光棒与可视喉镜在鼾症手术气管插管中的应用比较[J].山东医药,2013,53(12):59-60.
[2]唐芳,彭清雄.右旋美托咪啶对鼾症纤支镜插管应激反应的影响[J].中国内镜杂志,2013,19(7):694-696.
[3]张文敏,万磊,丁冠男.视可尼可视喉镜用于鼾症患者慢诱导气管插管的临床观察[J].临床和实验医学杂志,2013,12(14):1126-1128.
[4]罗亮.光棒联合新型喉罩与纤维支气管镜气管插管临床效果比较[J].实用医院临床杂志,2015,12(1):117-119.
[5]柯晋源,徐乾.Glide Scope视频喉镜和Macintosh直接喉镜用于鼾症患者气管插管的比较[J].临床耳鼻咽喉头颈外科杂志,2013,27(9):468-470.
[6]张秀双,郑琳,徐铭军.光棒与喉镜插管对气道并发症的影响[J].现代中西医结合杂志,2012,21(29):3258-3259.
[7]	[7]KIM J H,KIM K W,PARK J,et al.Use of light wand as an adjunct during intubation of patient with large epiglottic cyst[J].Korean J Anesthesiol,2013,65(6 Suppl):21-22.
[8]	[8]KURTIPEK O,ISIK B,ARSLAN M,et al.A study to investigate the relationship between difficult intubation and prediction criterion of difficult intubation in patients with obstructive sleep apnea syndrome[J].J Res Med Sci,2012,17(7):615-620.
[9]邵云,董迎春,王新河,等.光棒引导经鼻插管在张口困难患者中临床应用[J].实用口腔医学杂志,2013,29(5):718-720.
[10]先小纲.光棒和直接喉镜引导下气管插管麻醉对老年择期手术患者血液动力学的影响[J].中国医疗设备,2014,29(6):28-30.
[11]齐敦益,程伟,殷琴,等.光棒与直接喉镜对静脉全麻诱导时血流动力学及应激激素浓度的影响[J].山东医药,2011,51(52):68-69.
[12]	[12]EGHBAL M H,SAHMEDDINI M A.Comparison larygeal mask airway with the endotracheal tube for the external dacryocystorhionostomy surgery.A randomized clinical trial[J].Middle East J Anesthesiol,2013,22(3):283-288.
[13]杨善林,徐曙兵,孙柳生.光棒引导与传统喉镜气管插管临床应用效果比较[J].安徽医药,2014,18(9):1707-1709.
[14]洪英才,麻伟青.2种插管方法用于高位颈椎外伤患者经鼻气管插管的比较[J].西南国防医药,2013,23(2):153-155.
[15]刘佩蓉,刁枢,刘春亮,等.Lightwand光棒插管对老年患者血流动力学的影响[J].临床麻醉学杂志,2012,28(4):386-388.

Relative Articles(20)

Relative Articles

[1]	Lan MAO, Hui ZHAN, Ting LUAN, Haifeng WANG, HaoNan DONG, Jiansong WANG. Urodynamics in the Diagnosis and Treatment of Overactive Bladder among Females. Journal of Kunming Medical University, 2023, 44(4): 154-158. doi: 10.12259/j.issn.2095-610X.S20230421
[2]	Qicai QU, Liu YANG, Hui YU, Ningli ZHANG, Ping HU, Jian YANG. Effect of Different Shaping Angles on Endotracheal Intubation under Visual Laryngoscope for Beginners. Journal of Kunming Medical University, 2023, 44(12): 171-176. doi: 10.12259/j.issn.2095-610X.S20231227
[3]	Dong WANG, Ying TAN, Jun WANG, Min GAO. Effect of UE Video Laryngoscope and Fiberoptic Bronchoscope for Awake Orotracheal Intubation. Journal of Kunming Medical University, 2021, 42(10): 117-120. doi: 10.12259/j.issn.2095-610X.S20211027
[4]	Yun-rui GUO, Jian-ming YANG, Hao YANG, Ye-cai ZHANG, Guo-yun ZHANG, Chen ZHOU, Ya-ting HOU. The Clinical Study on the Effects of Sedation，Analgesia and Slow Induction of Endotracheal Intubation on Hemodynamics，Reduction of Postoperative Adverse Memory and Psycho-psychological Effects in Patients with General Anesthesia. Journal of Kunming Medical University, 2021, 42(9): 127-133. doi: 10.12259/j.issn.2095-610X.S20210906
[5]	Wang Ling Ling , Ma Wei Qing , Li Zhi Gui , Li Na , Huang Zhi Guo . Effect of Acute Hypervolemic Hemodilution on Hemodynamics in Patients Undergoing Lumbar Surgery. Journal of Kunming Medical University, 2019, 40(03): 83-86.
[6]	Zhao Yu Bin , Qu Qi Cai , Si Yong Yu . . Journal of Kunming Medical University, 2019, 40(08): 93-96.
[7]	Zhang Can Hua . Analysis on Clinical Effect in 116 Patients with Tracheal Intubation under General Anesthesia Guiding by HC Visual Laryngoscope in Combination with Fiberoptic Bronchoscopy. Journal of Kunming Medical University,
[8]	Wen Kai Lan . . Journal of Kunming Medical University,
[9]	Long Ru Hua . . Journal of Kunming Medical University,
[10]	Li Jian Gang . . Journal of Kunming Medical University,
[11]	Jiang Yan Bing . . Journal of Kunming Medical University,
[12]	Fang Yu . . Journal of Kunming Medical University,
[13]	Dai Zhuan Yun . . Journal of Kunming Medical University,
[14]	Zhang Chun Xi . . Journal of Kunming Medical University,
[15]	Chen Ai Xian . . Journal of Kunming Medical University,
[16]	Liu Rong . Effect of Short-term High-level PEEP on Oxygen Metabolism and Hemodynamics in Patients with ALI/ARDS. Journal of Kunming Medical University,
[17]	. Clinical Observation of Dexmedetomidine in Inhibiting Nasal Endotracheal Intubation Response. Journal of Kunming Medical University,
[18]	. The Influences of Dexmedetomidine on Circulatory System and Propofol Dose in Endotracheal Intubation. Journal of Kunming Medical University,
[19]	. Hemodynamic Changes in Patients with Portal Hypertension during Piggyback Orthotopic Liver Transplantation. Journal of Kunming Medical University,
[20]	Wang Hui Ming . . Journal of Kunming Medical University,