The Clinical Use of Three-stage Endotracheal Intubation with fiberoptic Bronchoscope in Children<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /> 孙海涛 薛富善 张国华 李成文 刘鲲鹏 毛鹏 中国医学科学院中国协和医院科大学整形外科医院麻醉科,北京 100041 Hai-tao Sun, Fu-shan Xue, Guo-hua Zhang, Cheng-Wen Li, Kun-peng Liu and Peng Mao Department of Anesthesiology, Piastic Surgery Hospital, Chinese academy of Medical Sciences and peking Union Medical College, Beijing 100041 ABSTRACT Objective:To assess the clinical use of three-stage endotrachel intubation with fiberoptic bronchoscope in children and to observe its maneuverability and clinical validity. Methods:10 children, ASA I~II, aged 4~13 years, and undergoing selective plastic surgery, were included in this study. After standard intravenous anesthetic induction, a larger endotracheal tube(ID=7.0mm) was inserted into the glottis under the aid of FOB(OD=5.5mm) until resistance was felt, and then FOB was drew back through the larger endotracheal tube carefully (one-stage); a thin ventilating endotracheal tube changer was inserted into trachea through the larger endotracheal tube, after which the large endotracheal tube was drew back along the changer(two-stage); a well-lubricated thinner endotracheal tube with suitable IDfor the pediatric patient was inserted into trachea along the changer(three-stage). The time and difficulty of manipulation for three-stage endotracheal intubation were recorded. A follow-up on postoperative complications was carried out for each child. Tesults:In our patients, the success rate of the three-stage endotracheal intubation with fiberoptic bronchoscope was 100%. The time of manipulation was (124.1±15.2)s. Conclusion:The pediatric three-age endotracheal intubation with fiberoptic bronchoscope has the advantages of simple manipulation and high success rate. Keywords:Children; Endotracheal intubation; Fiberoptic bronchoscope; Ventilating endotracheal tube changer; Clinical use Corresponding author:Fu-shan Xue: fruitXue@yahoo.com.cn |