Nazotrakeal entübasyonda oluşan kaf hasarı basit bir alet ile azaltılabilir mi?
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Dosyalar
Tarih
2007
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızda, Magill forsepsi ve yeni tasarlanan basit bir alet yardımı ile yapılan nazotrakeal entübasyon sonrası oluşan endotrakeal tüp kaf hasarları karşılaştırıldı. Gereç ve Yöntem: Tüm girişimler (n=104) bir insan modeli üzerinde, Magill forsepsi veya yeni tasarlanan basit alet yardımı ile yapıldı. Endotrakeal tüp kafları lidokain spray ile kayganlaştırıldı. Direkt laringoskopi ile yapılan entübasyon sırasında çalışma grubunda, tamamen kendi tasarımımız olan kanca şeklindeki alet, kontrol grubunda ise Magill forsepsi kullanıldı. Tüp kafları iğne deliği şeklinde minör hasar veya major rüptür şeklinde tanımlanan hasar derecelendirmesi ile değerlendirildi. Bulgular: Her iki grupta minör hasar aynı oranda bulunurken (%2) (p>0.05), major rüptür oranı, çalışma grubunda kontrol grubuna göre anlamlı olarak düşük bulundu (%8’e karşılık %16) (p<0.05). Yeni tasarlanan aletin kullanımı ile ilgili olarak herhangi bir zorluk ile karşılaşılmadı. Sonuç: Yeni tasarlanan aletin, endotrakeal tüp kaf hasarı insidansını azaltmakta yardımcı olabileceği, dolayısı ile nazotrakeal entübasyonda Magill forsepsine güvenli bir alternatif oluşturabileceği kanaatine varıldı.
Aim: In our study, cuff damage to the endotracheal tube was compared with the aid of Magill forceps and a simple device during nasotracheal intubation. Methods: All insertions were performed by nasotracheal intubation with Magill forceps or a simple device on a human model. The tube cuffs were lubricated with lidocaine spray. In the control group, intubation was performed using Magill forceps during direct laryngoscopy and in the study group with the aid of a hook shaped device which designed completely by us. Tube cuffs were examined in aspect of damage level, described as pinholes or major ruptures. Results: Although the rate of minor damage was found in the same ratio (2%) (p>0.05) in both groups, major ruptures were observed at a lower rate in the study group compared with the control group (8%vs 16% respectively) (p<0.05). No diffuculty was experienced related using the newly designed device. Conclusion: We concluded that the new device may help to minimize the incidence of cuff damage of the endotracheal tube, therefore could be a safe alternative to Magill forceps in nasotracheal intubation.
Aim: In our study, cuff damage to the endotracheal tube was compared with the aid of Magill forceps and a simple device during nasotracheal intubation. Methods: All insertions were performed by nasotracheal intubation with Magill forceps or a simple device on a human model. The tube cuffs were lubricated with lidocaine spray. In the control group, intubation was performed using Magill forceps during direct laryngoscopy and in the study group with the aid of a hook shaped device which designed completely by us. Tube cuffs were examined in aspect of damage level, described as pinholes or major ruptures. Results: Although the rate of minor damage was found in the same ratio (2%) (p>0.05) in both groups, major ruptures were observed at a lower rate in the study group compared with the control group (8%vs 16% respectively) (p<0.05). No diffuculty was experienced related using the newly designed device. Conclusion: We concluded that the new device may help to minimize the incidence of cuff damage of the endotracheal tube, therefore could be a safe alternative to Magill forceps in nasotracheal intubation.
Açıklama
Anahtar Kelimeler
Nazotrakeal Entübasyon, Basit Bir Alet, Kaf Hasarı, Asotracheal Intubation, A Simple Device, Cuff damage
Kaynak
Van Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
2
