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題名 | Nasogastric Tube Placement with Video-guided Laryngoscope: A Manikin Simulator Study |
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作者姓名(外文) | Lee, Xiao-lun; Yeh, Li-chun; Jin, Yau-dung; Chen, Chun-chih; Lee, Ming-ho; Huang, Ping-wun; | 書刊名 | Journal of the Chinese Medical Association |
卷期 | 80:8 2017.08[民106.08] |
頁次 | 頁492-497 |
分類號 | 416.898 |
關鍵詞 | Endotracheal tube; Laryngoscope; Laryngoscopy/methods; Nasogastric intubation; Video laryngoscope; |
語文 | 英文(English) |
英文摘要 | Background This study aimed to investigate video-guided laryngoscopy for nasogastric tube placement. Methods This was an observational comparative study performed in a hospital. The participants included volunteers from the medical staff (physicians and nurses) experienced with nasogastric intubation, and non-medical staff (medical students, pharmacists and emergent medical technicians) with knowledge of nasogastric intubation but lacking procedural experience. Medical and non-medical hospital staff performed manual, laryngoscope-assisted and video-guided laryngoscope nasogastric intubation both in the presence and in the absence of an endotracheal tube, using a manikin. Nasogastric intubation times were compared between groups and methods. Results Using the video-guided laryngoscope resulted in a significantly shorter intubation time compared to the other 2 methods, both with and without an endotracheal tube, for the medical and non-medical staff alike (all p < 0.05). For the medical staff, mean nasogastric intubation time was significantly shorter using video-guided laryngoscope without endotracheal intubation, direct laryngoscope with endotracheal intubation and video-guided laryngoscope with endotracheal intubation compared to manual intubation without endotracheal intubation (0.49, 0.63 and 0.72 vs. 5.63, respectively, p ≤ 0.008). For non-medical staff, nasogastric intubation time was significantly shorter using video-guided laryngoscope without endotracheal intubation, direct laryngoscope with endotracheal intubation and video-guided laryngoscope with endotracheal intubation compared to manual intubation without endotracheal intubation (1.67, 1.58 and 0.95 vs. 6.9, respectively, p ≤ 0.002). And mean nasogastric intubation time for video-guided laryngoscope endotracheal intubation was significantly shorter for medical staff than for non-medical staff (0.49 vs. 1.67 min, respectively, p = 0.041). Conclusion Video-guided laryngoscope reduces nasogastric intubation time compared to manual and direct laryngoscope intubation, which promotes a consistent technique when performed by experienced medical and previously untrained non-medical staff. |
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