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目的探讨气管插管置换的引导管导引经口气管插管在ICU中的应用价值。方法选择2012年1月至2012年12月我院ICU收治的呼吸衰竭患者68例,采用气管插管置换的引导管导引经口气管插管建立人工气道行机械通气,观察插管成功率及插管并发症。结果本组患者62例一次插管成功,成功率91%,插管时间20～60s,6例患者插管失败后,急请麻醉科医生辅助插管,其中3例1次盲插成功,2例经光棒引导2次插管成功,1例经视频喉镜引导后2次成功。本组患者无喉痉挛、严重心律失常、支气管痉挛、大咯血、心跳骤停等并发症发生。结论采用气管插管置换的引导管导引经口气管插管能快速、简便地建立人工气道,有较高的插管成功率,并发症少,值得在ICU中临床推广应用。
Objective To investigate the value of tracheal intubation guided guide tube guided intubation tracheal intubation in ICU. Methods Sixty-eight patients with respiratory failure admitted from ICU in our hospital from January 2012 to December 2012 were enrolled in this study. Tracheal intubation was performed to guide the mechanical ventilation through the endotracheal tube. Mechanical ventilation was performed to observe the success rate of intubation, Intubation complications. Results The group of 62 patients with a successful intubation, the success rate of 91%, intubation time 20 ~ 60s, 6 patients failed to intubation, urgent anesthesiologists assisted intubation, including 3 blind blind insertion of a success, 2 Two cases of successful intubation led by the light rod, 1 case of video laryngoscope after 2 successful. The patients without laryngospasm, severe arrhythmia, bronchospasm, hemoptysis, cardiac arrest and other complications. Conclusion Tracheal cannulation guided guide tube to guide the orotracheal intubation can quickly and easily establish artificial airway with high success rate of intubation and fewer complications, so it is worth popularizing in the ICU.