Abstract:【Objective】 To investigate the impact of video laryngoscopy-guided endotracheal intubation on resuscitation time and prognosis in prehospital emergency care patients. 【Methods】 A total of 112 prehospital emergency care patients requiring artificial airway establishment were included in this study. They were divided into an observation group and a control group,with 56 patients in each group. The control group received conventional laryngoscopy-guided tracheal intubation,while the observation group received video laryngoscopy-guided tracheal intubation. The number of intubation attempts,intubation time,time to successful intubation,glottis exposure time,and resuscitation time were compared between the two groups. Blood glucose,oxygen saturation (SaO2),and blood pressure levels were compared at 3 minutes after intubation. Intubation success rate,resuscitation success rate,24 hours survival rate,and incidence of complications were also compared. 【Results】 The observation group had significantly fewer intubation attempts,shorter intubation time,time to successful intubation,glottis exposure time,and resuscitation time compared to the control group (P<0.05). At 3 minutes after intubation,the observation group had higher SaO2 levels,systolic blood pressure,and diastolic blood pressure compared to the control group (P<0.05). There was no significant difference in blood glucose levels at 3 minutes after intubation between the two groups (P>0.05). The observation group had higher intubation success rate (94.64%),resuscitation success rate (37.50%),and 24 hours survival rate (25.00%) compared to the control group (80.36%,19.64% and 10.71%,respectively) (P<0.05). The incidence of complications was significantly lower in the observation group (3.57%) compared to the control group (16.07%) (P<0.05). 【Conclusion】 Video laryngoscopy-guided endotracheal intubation in prehospital emergency care patients can shorten intubation and resuscitation time,improve 24 hours survival rate,and enhance short-term prognosis.
杨中林, 熊小飞, 张尧. 可视性喉镜插管用于院前急救对患者复苏时间及预后的影响[J]. 医学临床研究, 2023, 40(6): 909-912.
YANG Zhong-lin, XIONG Xiao-fei, ZHANG Yao. The Impact of Video Laryngoscopy-Guided Endotracheal Intubation on Resuscitation Time and Prognosis in Prehospital Emergency Care Patients. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 909-912.
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