Evaluation of a Novel Multimodal Guidance Device for Difficult Airway Endotracheal Intubation in Spontaneously Breathing Pigs

作     者：Xia Ming Xu Tianyi Cao Shuang Zhou Ren Jiang Hong 夏明;徐天意;曹爽;周韧;姜虹

作者机构：Department of AnesthesiologyShanghai Ninth People’s HospitalShanghai Jiao Tong University School of MedicineShanghai200011China 

出 版 物：《Journal of Shanghai Jiaotong university(Science)》 (上海交通大学学报（英文版）)

年 卷 期：2022年第27卷第2期

页      面：256-263页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 1006[医学-中西医结合] 1002[医学-临床医学] 08[工学] 100602[医学-中西医结合临床] 10[医学] 

基　　金：the Interdisciplinary Program of Shanghai Jiao Tong University(No.ZH2018ZDA14)and the Clinical Research Plan of the Shenkang Hospital Development Center(No.SHDC2020CR3043B) 

主　　题：endotracheal intubation autonomous respiration end-expiratory carbon dioxide multimodal guidance device airway management 

摘      要：End-expiratory carbon dioxide concentrations can be used to assist endotracheal *** novel multimodal endotracheal intubation guidance device combined visualization with an end-expiratory carbon dioxide concentration vectorization algorithm to achieve more accurate placement in difficult *** feasibility of a novel multimodal guidance device for the endotracheal intubation of difficult airways was verified in spontaneously breathing Bama miniature *** glottic exposure time,insertion time,and total intubation time were not significantly different between the fiberoptic bronchoscope group and the multimodal guidance device group in regard to the endotracheal intubation of difficult *** were also no significant differences in intubation attempts,first success rate,and total success *** in both groups experienced hypoxemia,hypotension,and esophageal intubation during endotracheal intubation,but there were also no significant differences in the incidence of adverse events between the two *** effect on changes in hemodynamics,heart rate,and oxygen saturation during intubation showed no significant difference between the two *** results of the present study demonstrated the feasibility and effectiveness of the initial prototype of a multimodal guidance device for the endotracheal intubation of difficult airways in pigs,which is expected to further assist in adequately positioning the airway during difficult endotracheal intubations with spontaneous breathing.