Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular ...Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular in difficult airway. We compared the effects ofintubation with SOS versus Macintosh laryngoscope （MLS） in patients undergoing surgery for cervical spondylosis. Methods： A total of 270 patients scheduled for elective surgery for cervical spondylosis of spinal cord and nerve root type from August 2012 to January 2016 were enrolled and randomly allocated to the MLS or SOS group by random numbers. Patients were evaluated for difficult airway preoperatively, and Cormack-Lehane laryngoscopy classification was determined during anesthesia induction. Difficult airway was defined as Cormack-Lehane Grades IlI IV. Patients were intubated with the randomly assigned intubation device. The success rate, intubation time, required assistance, immediate complications, and postoperative complaints were recorded. Categorical variables were analyzed by Chi-square test, and continuous variables were analyzed by independent samples t-test or rank sum test. Results： The success rate of intubation among normal airways was 100% in both groups. In patients with difficult airway, the success rates in the MLS and SOS groups were 84.2% and 94.1%, respectively （P = 0.605）. lntubation with SOS took longer compared with MLS （normal airway： 25.1 ± 5.8 s vs. 24.5 ± 5.7 s, P = 0.426; difficult airway： 38.5± 8.5 s vs. 36.1 ±8,2 s, P = 0.389）. Intubation with SOS required less assistance in patients with difficult airway （5.9% vs. 100%, P 〈 0.001 ）. The frequency of postoperative sore throat was lower in SOS group versus MLS group in patients with normal airway （22.0% vs. 34.5%, P =0.034）. Conclusions： SOS is a sale and effective airway management device in patients undergoing surgery for cervical spondylosis. Compared with MLS, SOS appears clinically beneficial for intubation, especially in patien展开更多
Objective：UEscope is a new angulated videolaryngoscope （VL）.This review aimed to describe the features of UEscope and provide clinical evidences regarding the efficacy and safety of this video device in adult trach...Objective：UEscope is a new angulated videolaryngoscope （VL）.This review aimed to describe the features of UEscope and provide clinical evidences regarding the efficacy and safety of this video device in adult tracheal intubation and its roles in airway management teaching.Data Sources：The Wan Fang Data,CNKI,PubMed,Embase,Cochrane Library,and Google Scholar were searched for relevant English and Chinese articles published up to January 15,2017,using the following keywords：＂HC video laryngoscope＂,＂UE videolaryngoscope＂,＂video laryngoscope＂,and ＂videolaryngoscopy＂.Study Selection：Human case reports,case series,observable studies,and randomized controlled clinical trials were included in our search.The results of these studies and their reference lists were cross-referenced to identify a common theme.Results：UEscope features the low-profile portable design,intermediate blade curvatures,all-angle adjustable monitor,effective anti-fog mechanisms,and built-in video recording function.During the past 5 years,there have been a number of clinical studies assessing the application and roles of UEscope in airway management and education.As compared with direct laryngoscope,UEscope improves laryngeal visualization,decreases intubation time （IT）,and increases intubation success rate in adult patients with normal and difficult airways.These findings are somewhat different from the previous results regarding the other angulated VLs;they can provide an improved laryngeal view,but no conclusive benefits with regard to IT and intubation success rate.Furthermore,UEscope has extensively been used for intubation teaching and shown a number of advantages.Conclusions：UEscope can be used as a primary intubation tool and may provide more benefits than other VLs in patients with normal and difficult airways.However,more studies with large sample are still needed to address some open questions about clinical performance of this new VL.展开更多
文摘Background： Airway management is critical in patients with cervical spondylosis, a population with a high incidence of difficult airway. Intubation with Shikani Optical Styler （SOS） has become increasingly popular in difficult airway. We compared the effects ofintubation with SOS versus Macintosh laryngoscope （MLS） in patients undergoing surgery for cervical spondylosis. Methods： A total of 270 patients scheduled for elective surgery for cervical spondylosis of spinal cord and nerve root type from August 2012 to January 2016 were enrolled and randomly allocated to the MLS or SOS group by random numbers. Patients were evaluated for difficult airway preoperatively, and Cormack-Lehane laryngoscopy classification was determined during anesthesia induction. Difficult airway was defined as Cormack-Lehane Grades IlI IV. Patients were intubated with the randomly assigned intubation device. The success rate, intubation time, required assistance, immediate complications, and postoperative complaints were recorded. Categorical variables were analyzed by Chi-square test, and continuous variables were analyzed by independent samples t-test or rank sum test. Results： The success rate of intubation among normal airways was 100% in both groups. In patients with difficult airway, the success rates in the MLS and SOS groups were 84.2% and 94.1%, respectively （P = 0.605）. lntubation with SOS took longer compared with MLS （normal airway： 25.1 ± 5.8 s vs. 24.5 ± 5.7 s, P = 0.426; difficult airway： 38.5± 8.5 s vs. 36.1 ±8,2 s, P = 0.389）. Intubation with SOS required less assistance in patients with difficult airway （5.9% vs. 100%, P 〈 0.001 ）. The frequency of postoperative sore throat was lower in SOS group versus MLS group in patients with normal airway （22.0% vs. 34.5%, P =0.034）. Conclusions： SOS is a sale and effective airway management device in patients undergoing surgery for cervical spondylosis. Compared with MLS, SOS appears clinically beneficial for intubation, especially in patien
文摘Objective：UEscope is a new angulated videolaryngoscope （VL）.This review aimed to describe the features of UEscope and provide clinical evidences regarding the efficacy and safety of this video device in adult tracheal intubation and its roles in airway management teaching.Data Sources：The Wan Fang Data,CNKI,PubMed,Embase,Cochrane Library,and Google Scholar were searched for relevant English and Chinese articles published up to January 15,2017,using the following keywords：＂HC video laryngoscope＂,＂UE videolaryngoscope＂,＂video laryngoscope＂,and ＂videolaryngoscopy＂.Study Selection：Human case reports,case series,observable studies,and randomized controlled clinical trials were included in our search.The results of these studies and their reference lists were cross-referenced to identify a common theme.Results：UEscope features the low-profile portable design,intermediate blade curvatures,all-angle adjustable monitor,effective anti-fog mechanisms,and built-in video recording function.During the past 5 years,there have been a number of clinical studies assessing the application and roles of UEscope in airway management and education.As compared with direct laryngoscope,UEscope improves laryngeal visualization,decreases intubation time （IT）,and increases intubation success rate in adult patients with normal and difficult airways.These findings are somewhat different from the previous results regarding the other angulated VLs;they can provide an improved laryngeal view,but no conclusive benefits with regard to IT and intubation success rate.Furthermore,UEscope has extensively been used for intubation teaching and shown a number of advantages.Conclusions：UEscope can be used as a primary intubation tool and may provide more benefits than other VLs in patients with normal and difficult airways.However,more studies with large sample are still needed to address some open questions about clinical performance of this new VL.
