| Application value of lightwand guided tracheal intubation in anesthesia for children with obstructive sleep apnea syndrome |
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| Citation of this paper:WANG Lai1, DU Jian-er1*, ZHAO Xuan2, SHI Xue-yin1.Application value of lightwand guided tracheal intubation in anesthesia for children with obstructive sleep apnea syndrome[J].Chinese Journal of Clinical Medicine,2018,25(5):782-785 |
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| Author Name | Affiliation | | WANG Lai1, DU Jian-er1*, ZHAO Xuan2, SHI Xue-yin1 | 1. Department of Anesthesiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
2. Department of Anesthesiology, Tenth People’s Hospital, Tongji University, Shanghai 200072, China |
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| Abstract:Objective：To investigate the safety and clinical efficacy of lightwand guided tracheal intubation in anesthesia for children with obstructive sleep apnea syndrome (OSAS), and compare it with direct laryngoscope method.
Methods：40 children aging from 2 to 9 years old were included in this study. They suffered from OSAS and would undergo adenoidectomy. During the clinical trial, the sick children were randomly divided into two groups: lightwand group (group L, n=20) and direct laryngoscope group (group C, n=20). The changes of heart rate (HR), mean arterial pressure (MAP), and pulse oxygen saturation (SpO2) when the children entered into the operation room (T1), after induction (T2), as well as 1 min (T3), 3 min (T4), 5 min (T5) after intubation were recorded. Besides, the intubation success rate for the first time, the intubation time, the cases of oral mucosal injury, and teeth damage were recorded.
Results：The intubation time in group L was significantly shorter than that in group C (P<0.05). The success rate of the first time intubation in group L was significantly higher than that in group C (100% vs 90%, P<0.05). One minute after intubation, HR for patients in group L were significantly lower than that in group C (P<0.05). In group C, MAP at 1 min after intubation was significantly higher than that of T2 (P<0.05). HR at 1 min, 3 min, and 5 min after intubation was significantly higher than that of T2 (P<0.05). And in group L, MAP at 1 min after intubation was higher than that of T2 without significant difference. HR at 1 min and 3 min after intubation was significantly higher than that of T2 (P<0.05). Only one case of oral mucosal injury was found in group C.
Conclusions：Compared with general laryngoscope, lightwand guided tracheal intubation has the advantages of higher success rate of intubation for the first time, shorter intubation time, less damage to the oral mucosa, and less influence on hemodynamics for pediatric patients with OSAS. Lightwand can be safely and effectively used in pediatric anesthesia. |
| keywords:lightwand laryngoscope pediatric obstructive sleep apnea syndrome tracheal intubation |
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