Application of visual laryngoscope guided localization in minimally invasive percutaneous pneumatectomy
Objective To investigate the application prospect of precise extraction and positioning of tracheal intubation guided by laryngoscope in percutaneous minimally invasive tracheotomy.Methods 40 patients who required percutaneous minimally invasive tracheotomy for tracheal intubation in our hospital from January 2019 to January 2022 were divided into two groups:the empirical extu-bation positioning group(the tracheal intubation was pulled out to 16-18 cm through clinical experience)and visual laryngoscope guid-ed precision positioning group(the tracheal intubation balloon was pulled under the glottis by visual laryngoscope guided).The opera-tion time,puncture times,bleeding degree and minimum oxygen saturation were analyzed systematically.Results 40 cases were all successfully operated with percutaneous minimally invasive tracheotomy.The mean operation time,puncture times and bleeding degree of the visual laryngoscope-guided precision positioning group were lower than those of the experience extubation group,and the mean minimum pulse oxygen saturation during the operation was higher than that of the experience extubation group,with statistical signifi-cance(P<0.05).Conclusion The application of tracheal intubation accurately extracted and positioned under the guidance of visual laryngoscope in minimally invasive percutaneous tracheotomy can significantly reduce the occurrence of intraoperative and postopera-tive complications,and is worthy of clinical promotion.
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