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  • 期刊

使用喉頭鏡與插管式喉頭面罩插管之比較:一個隨機分派研究

A Prospective Randomized Trial to Compare Intubation Using a Laryngoscope and an Intubating Laryngeal Mask Airway

摘要


Nurses are often the first to respond when patients collapse in hospitals. The resuscitation and airway management ability of nurses is related to the prognosis of critical patients. There are few studies to compare the use of an intubating laryngeal airway mask (ILMA) and a laryngoscope as used by an inexperienced nurse who has completed an airway training course. The objective of this study was to compare the success rate and time taken to intubate a patient using an ILMA and a laryngoscope. This prospective, randomized study assigned inexperienced nurses to two groups in each Advanced Cardiac Life Support (ACLS) course. One was assigned to ILMA training (experiment group), the other to laryngoscope training (control group). After completing the airway management training on the ACLS courses, the success rate and the time required to intubate using ILMA or laryngoscope were evaluated for each group. The total success rate, first success rate and the time required to intubate in the experiment group was superior to the control group. The results were 98.9% vs. 90.1% (p<0.018), 87.5% vs. 62.6% (p<0.00l), 17.8±9.3 sec vs. 33.6±12.2 sec (p<0.001) respectively. Intubation by ILMA is easier to learn and superior to laryngoscope intubation in success rate. Using ILMA to intubate is suggested as an alternative method for inexperienced nurses and other health workers.

並列摘要


Nurses are often the first to respond when patients collapse in hospitals. The resuscitation and airway management ability of nurses is related to the prognosis of critical patients. There are few studies to compare the use of an intubating laryngeal airway mask (ILMA) and a laryngoscope as used by an inexperienced nurse who has completed an airway training course. The objective of this study was to compare the success rate and time taken to intubate a patient using an ILMA and a laryngoscope. This prospective, randomized study assigned inexperienced nurses to two groups in each Advanced Cardiac Life Support (ACLS) course. One was assigned to ILMA training (experiment group), the other to laryngoscope training (control group). After completing the airway management training on the ACLS courses, the success rate and the time required to intubate using ILMA or laryngoscope were evaluated for each group. The total success rate, first success rate and the time required to intubate in the experiment group was superior to the control group. The results were 98.9% vs. 90.1% (p<0.018), 87.5% vs. 62.6% (p<0.00l), 17.8±9.3 sec vs. 33.6±12.2 sec (p<0.001) respectively. Intubation by ILMA is easier to learn and superior to laryngoscope intubation in success rate. Using ILMA to intubate is suggested as an alternative method for inexperienced nurses and other health workers.

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