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Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy

To investigate the safety and efficacy of video laryngoscopy for endotracheal intubation in critically ill patients. A total of 106 critically ill emergency patients treated at our hospital between January 2021 and June 2022 were randomly divided into 2 groups, the visual and direct groups, with 53...

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Autores principales: Mo, Chenghang, Zhang, Liang, Song, Yingjiang, Liu, Weifeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627691/
https://www.ncbi.nlm.nih.gov/pubmed/37933038
http://dx.doi.org/10.1097/MD.0000000000035692
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author Mo, Chenghang
Zhang, Liang
Song, Yingjiang
Liu, Weifeng
author_facet Mo, Chenghang
Zhang, Liang
Song, Yingjiang
Liu, Weifeng
author_sort Mo, Chenghang
collection PubMed
description To investigate the safety and efficacy of video laryngoscopy for endotracheal intubation in critically ill patients. A total of 106 critically ill emergency patients treated at our hospital between January 2021 and June 2022 were randomly divided into 2 groups, the visual and direct groups, with 53 patients in each group. Both groups were treated with endotracheal intubation; the visual group was treated with video laryngoscopy, and the direct group was treated with conventional direct laryngoscopy. The Cormack–Lehane grade, percentage of glottic opening score, success rate of one intubation, intubation time, number of intubation attempts, hemodynamic values, and complications were compared between the 2 groups. The success rates of glottis exposure and one-time intubation were significantly higher while the intubation time and number of intubation attempts significantly lower in the visual group than in the direct group. The heart rate, mean arterial pressure (MAP), or blood oxygen saturation did not differ significantly between the 2 groups 10 minutes after entering the room (T0) or after anesthesia induction (T1). MAP was significantly lower in the visual group than in the direct group during immediate intubation (T2). The heart rate and MAP were significantly lower in the visual group than in the direct group 1 minute (T3) and 5 minutes (T4) after intubation. The incidences of intubation-related complications in the visual and direct groups were 7.55% and 22.60%, showing a significant difference. Endotracheal intubation under videolaryngoscopy is safer and more effective for critically ill emergency patients than conventional direct laryngoscopy. This can improve the success rate of intubation, reduce the intubation time, and reduce its effect on hemodynamics. Therefore, it is worthy of further clinical application.
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spelling pubmed-106276912023-11-07 Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy Mo, Chenghang Zhang, Liang Song, Yingjiang Liu, Weifeng Medicine (Baltimore) 3900 To investigate the safety and efficacy of video laryngoscopy for endotracheal intubation in critically ill patients. A total of 106 critically ill emergency patients treated at our hospital between January 2021 and June 2022 were randomly divided into 2 groups, the visual and direct groups, with 53 patients in each group. Both groups were treated with endotracheal intubation; the visual group was treated with video laryngoscopy, and the direct group was treated with conventional direct laryngoscopy. The Cormack–Lehane grade, percentage of glottic opening score, success rate of one intubation, intubation time, number of intubation attempts, hemodynamic values, and complications were compared between the 2 groups. The success rates of glottis exposure and one-time intubation were significantly higher while the intubation time and number of intubation attempts significantly lower in the visual group than in the direct group. The heart rate, mean arterial pressure (MAP), or blood oxygen saturation did not differ significantly between the 2 groups 10 minutes after entering the room (T0) or after anesthesia induction (T1). MAP was significantly lower in the visual group than in the direct group during immediate intubation (T2). The heart rate and MAP were significantly lower in the visual group than in the direct group 1 minute (T3) and 5 minutes (T4) after intubation. The incidences of intubation-related complications in the visual and direct groups were 7.55% and 22.60%, showing a significant difference. Endotracheal intubation under videolaryngoscopy is safer and more effective for critically ill emergency patients than conventional direct laryngoscopy. This can improve the success rate of intubation, reduce the intubation time, and reduce its effect on hemodynamics. Therefore, it is worthy of further clinical application. Lippincott Williams & Wilkins 2023-11-03 /pmc/articles/PMC10627691/ /pubmed/37933038 http://dx.doi.org/10.1097/MD.0000000000035692 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle 3900
Mo, Chenghang
Zhang, Liang
Song, Yingjiang
Liu, Weifeng
Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
title Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
title_full Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
title_fullStr Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
title_full_unstemmed Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
title_short Safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
title_sort safety and effectiveness of endotracheal intubation in critically ill emergency patients with videolaryngoscopy
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627691/
https://www.ncbi.nlm.nih.gov/pubmed/37933038
http://dx.doi.org/10.1097/MD.0000000000035692
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