Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 106-110.doi: 10.6040/j.issn.1673-3770.0.2021.056

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Application of visual laryngoscope in surgical anesthesia of children with congenital tongue base cyst

ZHAO Haitao1, WANG Yafang2, HE LI2, CHEN Wenjing1, XING Minzhe1, ZHENG Wenjuan2, YAN Yuyan2, LIU Xiaofeng2   

  1. 1. Department of Anesthesiology, Hebei Children's Hospital, Shijiazhuang 050031, Hebei, China;
    2. Department of Otorhinolaryngology, Hebei Children's Hospital, Shijiazhuang 050031, Hebei, China
  • Published:2022-02-22

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Abstract: Objective To explore the clinical effect and safety of visual laryngoscope and traditional laryngoscope in tracheal intubation in children with congenital tongue base cyst. Methods Seventy-two children(dyspnea grade I-II)scheduled for resection of tongue base cyst were randomly divided into two groups: traditional laryngoscope group(group M)and visual laryngoscope group(group G). The intubation time, success rate of intubation, failure rate of intubation, glottic exposure and airway injury were recorded. The saturation of pulse oxygen(SpO2), heart rate(HR)and mean arterial pressure(MAP)before and during intubation were observed. Results The tracheal intubation time of group G was shorter than that of group M, the success rate of one-time intubation was higher than that of group M, the intubation failure rate and airway injury of group G were lower than those of group M(P<0.05); HR and MAP increased significantly during intubation, especially in group M. Conclusion For children with Ⅰ-Ⅱ mild dyspnea caused by congenital tongue base cyst,the application of video laryngoscope in endotracheal intubation can shorten the time of endotracheal intubation, improve glottic exposure level, improve the success rate of one-time intubation, and ensure the safety of children to the greatest extent. It was worthy of clinical application.

Key words: Visual laryngoscope, Tracheal intubation, Tongue base cyst, Child

CLC Number: 

  • R767
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