Fiberoptic intubation is an important method for anesthesiologists to deal with difficult airways, but its operation is difficult and requires repeated practice. Fiberoptic intubation is performed in two steps. First, the anesthesiologist holds the bronchoscope and exposes the base of the tongue, the epiglottis, and the glottis successively according to the front camera of the bronchoscope. Through the glottis, the main trachea is exposed to the carina. This process is visual and the anesthesiologist can see the main tissue structure directly. Then, the endotracheal catheter enters the endotracheal along the bronchoscope, and the process of endotracheal catheter entry is not visual. In clinical work, it was found that the tracheal catheter was easily blocked when it passed through the glottis, and it was necessary to adjust the position of the tracheal catheter for several times before the tracheal catheter could be sent into the tracheal tube, which was easy to cause throat injury in the process. At present, relevant studies are mainly focused on the first step of bronchoscopic intubation, how to quickly expose the glottis and complete the bronchoscopic guidance process. However, there is no clear mention of the situation of catatoning in the process of endotracheal catheter and how to solve the problem of catatoning.
According to the inclusion and exclusion criteria,collecting the data of participants who undergone fiberoptic intubation. The observer analysis the safety and efficiency of fiberoptic intubation.
Study Type
OBSERVATIONAL
Enrollment
75
Tracheal intubation was performed with different outer diameters of fiberoptic.
Fiberoptic intubation attempts
This is used to observe the passage of the tracheal tube through the glottis
Time frame: during the procedure
First intubation success rate
The incidence of tracheal tube through the vocal cords
Time frame: during the procedure
Fiberoptic intubation time
The duration of the intubation process
Time frame: during the procedure
Time of passage of tracheal intubation through glottis
The time the tracheal tube enters the trachea
Time frame: during the procedure
Hoarseness after surgery
Patients were asked about voice changes 24 hours after surgery
Time frame: 24 hours after surgery
Sore throat
Patients were asked about throat pain 24 hours after surgery
Time frame: 24 hours after surgery
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