Objective To explore the methods to improve the success rate of intubation and reduce the intubation time consuming in emergency orotracheal intubation by improving the method of holding laryngoscope. Methods A total of 146 patients needed orotracheal intubation were randomly divided into a traditional group who was intubated with traditional method of holding laryngoscope and an improved group who was intubated with improved method of holding laryngoscope. The success rate of intubation for the first time, success rate in difficult intubation, intubation time consuming, the incidence of complications by mechanical injury between two groups were compared. Results Sixty-nine petients received traditional method of holding laryngoscope and 77 petients received improvement method of holding laryngoscope. The success rate for the first time intubation [71(92.2%) vs. 56(81.2%)] and success rate in difficult intubation [13(72.2%) vs. 3(23.1%)] of the improved group were higher than those of the traditional group. The differences were statistically significant (all P < 0.05). The intubation time consuming [(28.3±3.5)s vs. (35.6±4.1)s] and the incidence of complications by mechanical injury [1(1.3%) vs. 6(8.7%)] of the improved group were lower than those of the traditional group with statistical significance (all P < 0.05). Conclusion The success rate of intubation for the first time and the difficult intubation can be improved effectively, and the intubation time consuming and the incidence of complications by mechanical injury can be reduced effectively by improving the method of holding laryngoscope.

Citation： Yu Chuang, Zhang Zhenbao. Comparison of Emergency Orotracheal Intubation by Two Different Methods of Holding Laryngoscope. Chinese Journal of Respiratory and Critical Care Medicine, 2016, 15(3): 271-274. doi: 10.7507/1671-6205.2016063 Copy