Entübasyonda Videolaringoskopi

Year 2011, Volume: 28 Issue: 2, 39 - 44, 19.03.2012

Fatih Özkan

Abstract

Video teknolojisi ve fiberoptik sistemlerdeki son gelişmeler videolaringoskoplar gibi yeni entübasyon araçlarının ve teknolojilerinin gelişmesiyle sonuçlanmıştır. Videolaringoskoplar, blade’inin uç kısmına yerleştirilmiş bir optik sistem aracılığıyla indirekt bir görüşe izin verdiği için entübasyon ve laringoskopide farklı bir yaklaşım olarak kabul edilirler. Bu çalışmanın amacı konvansiyonel direkt laringoskopi ile entübasyonu güç ya da olanaksız olan hastalarda videolaringoskopinin klinik kullanımdaki rolünü tanımlamak için son yıllarda basılan materyalleri derlemektir. Yazarlar yeni laringoskoplar ve videolaringoskoplar gibi cihazlar ile farklı ve zor koşullar altında uygulanan direkt ve indirekt laringoskopileri karşılaştırmışlardır. Sonuçlar, gerçek zor entübasyon olgularının az olması ve seçilen hasta popülasyonunun yüksek heterojenitesinden dolayı toplanan verilerin çoğunun yetersiz olduğunu göstermiştir. Diğer taraftan entübasyon başarısından çok görüntüyü değerlendirmenin yeni cihazların sonuçlarıyla ilgili şüphelere neden olacağı açıktır. Yeni laringoskopun ya da videolaringoskopun primer rolü konvansiyonel yöntemlerle zor hatta olanaksız olan entübasyonda daha iyi bir performans elde etmek olmalıdır. Bu cihazların klinik rolü zor hava yolu çalışmaları ile desteklenmeyi beklemektedir.

Keywords

Hava yolu cihazı, Fiberoptik teknoloji, Zor hava yolu, Entübasyon, Laringoskop, Laringoskopi

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