纤维支气管镜在新生儿困难气管插管中的应用

Fiber bronchoscopy in neonatal difficult tracheal intubation

摘要:

目的   评价纤维支气管镜在新生儿困难气管插管中的应用价值。方法   对23例困难气管插管的新生儿，经纤维支气管镜引导气管插管的方法和结果进行回顾性分析。结果   23例新生儿在纤维支气管镜引导下经鼻气管插管全部成功，20例一次性操作成功，3例重新调整体位后插管成功，无并发症发生。结论   对存在困难气管插管的新生儿，应用纤维支气管镜引导气管插管，能提高插管成功率，减少插管并发症。

Abstract:

Objective To evaluate the clinical value of fiber bronchoscopy in neonatal difficult endotracheal intubation. Methods Clinical data of tracheal intubation guided by fiber bronchoscopy in 23 cases of newborns with difficult tracheal intubation were retrospectively analyzed. Results 23 cases of neonatal via nasal tracheal intubation guided by fiber bronchoscopy were performed successfully; 20 cases succeeded of one-time operation, 3 cases succeeded after readjust position. All the newborns have no complications occurred. Conclusions Tracheal intubation guided by fiber bronchoscope in difficult tracheal intubation of neonatal can improve the success rate and reduce complications.