Application effect of different airway preparation methods in emergency tracheal intubation in ICU patients
Objective To observe the application effect of negative pressure suction toothbrush in the preparation of emergency tracheal intubation in ICU patients.Methods A total of 95 patients who required emergency tracheal intubation in the ICU were selected.The patients were divided into a control group(n=47)and an experimental group(n=48)by using random number table method.The control group was treated with UE video laryngoscope.The experimental group was treated with negative pressure suction toothbrush for airway preparation combined with UE video laryngoscope.The intubation conditions,complications of tracheal intubation,inflammatory markers,anesthesia preparation time,and total intubation time were compared between the two groups.Results There were significant differences in the average time to expose the glottis,intubation attempts,and tracheal intubation time between the two groups(P<0.05).There was no statistical significance in the first-time tracheal intubation success rate and the incidence of tracheal intubation complications between the two groups(P>0.05).The inflammatory markers such as C-reactive protein and procalcitonin in the experimental group were lower than those in the control group(P<0.05).The anesthesia preparation time and total intubation time in the experimental group were shorter than those in the control group(P<0.05).Conclusions In ICU patients,using UE video laryngoscope combined with a negative pressure suction toothbrush for airway preparation before oral tracheal intubation can more quickly clear the airway secretions,and shorten the average time to expose the glottis.Thus,it can help to assess anesthesia preparation,and make it easier to assist the video laryngoscope to quickly complete the oral tracheal intubation.