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

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Journal of Shanghai Jiaotong university(Science) 2022年第2期27卷 256-263页

作者：夏明徐天意曹爽周韧姜虹 Department of Anesthesiology Shanghai Ninth People’s HospitalShanghai Jiao Tong University School of MedicineShanghai200011China

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.

关键词： endotracheal intubation autonomous respiration end-expiratory carbon dioxide multimodal guidance device airway management

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