国际麻醉学与复苏杂志   2017, Issue (7): 3-3
    
Clarus可视管芯引导气管插管的临床运用
陈佩玲, 马武华, 王勇1()
1.广州中医药大学第一临床医学院
The clinical application of the Clarus Video System--guided tracheal intubation
 全文:
摘要:

背景 Clarus可视管芯(Clarus Video System, CVS)是由美国Clarus公司研发的一种较新的可视光导管芯,其配备高清液晶显示屏及“J”形镜杆融合了可视软镜与光棒的优点,在国外已用于解决气管插管和处理困难气道,并发挥重要作用。目的 明确认识CVS的结构、插管准备工作、操作方法、临床运用及插管可能出现问题及处理对策,有益于提高CVS插管的有效性。 内容 介绍CVS的结构、插管准备工作、操作方法、临床运用(包括普通气道和困难气道插管及改良运用)及临床运用可能出现的问题及处理对策。 趋向 CVS作为新的可视光导管芯,无论在普通气道还是困难气道插管,单腔管还是双腔管插管,快速诱导或清醒插管,都是有效的工具之一。但在临床中仍应根据具体情况选择合适的操作方法和气管插管设备。

关键词: Clarus可视管芯; 气管插管; 困难气道
Abstract:

Background The Clarus Video System(CVS) designed by Clarus Medical is a novel fibreoptic intubating device.With a LCD and J shape stylet, it features both fiberoptic bronchoscopy and lightwand. CVS plays a very important role in normal intubation as well as dealing with difficult airway in foreign country. Objective A clear understanding of structure of it, preparing work before intubation, manoeuvres, clinical use, problems and countermeasures in practise can improve the effectiveness of using CVS. Content Introduce the structure of CVS, preparing work before intubation, manoeuvres,clinical uses(in normal airway and difficult airway as well as modified method), problems and countermeasures in practise. Trend As a new fibreoptic stylet, CVS is an effective intubating device no matter in processing normal airway and difficult airway, single-lumen/double-lumen endotracheal intubation, rapid induction intubation or awake intubation. But clinical physicians should make decisions in accordance with specific conditions.

Key words: Clarus video system; Tracheal intubation; Difficult airway