Study on the Application of Fiberoptic Bronchoscope Guidance Combined with Anesthesia in Awake Endotracheal Intubation for Patients with Ankylosing Spondylitis
ZHUANG Jiageng
BAI Fahong
Abstract：Objective To explore the application of fiberoptic bronchoscope guidance combined with an-esthesia in awake endotracheal intubation for patients with ankylosing spondylitis(AS).Methods Sixty AS pa-tients who underwent awake endotracheal intubation for surgery at the Third Hospital of Zhangzhou between Janu-ary 2021 and December 2024 were enrolled.They were randomly assigned into two groups using a random number table method:the control group(n=30),which received traditional intubation and anesthesia,and the observation group(n=30),which received fiberoptic bronchoscope-guided intubation combined with anesthesia.Heart rate(HR),mean arterial pressure(MAP),oxygen saturation(SpO2)at different time points,intubation time,and first-pass suc-cess rate of intubation were compared between the two groups.The incidence of complications was also assessed,and the postoperative pain(prince-henry)and oral comfort scores on days 1,5,and 10 were compared.Re-sults There were no statistically significant differences in HR,MAP,or SpO2 at T0 and Tl,or in SpO2 at T2 be-tween the two groups(P＞0.05).However,significant differences in HR,MAP,and SpO2 were observed at T2-T4(P＜0.05).The first-pass success rate of intubation,intubation time,complication rate,Prince-Henry pain scores,and oral comfort scores all showed significant differences between the two groups(P＜0.05).Conclusion Fiberoptic bronchoscope guidance combined with anesthesia demonstrates a better effect in awake endotracheal intubation for AS patients.This method reduces stress responses,lowers the incidence of related complications,and im-proves the first-pass success rate of intubation.
Keywords：Fiberoptic bronchoscopeAnesthe-siaLidocaine aerosol throat spray
Publication Date：2025-05-28
Online Publishing Date：2025-10-14(First online date of this platform, not the publication date of the document)
Pages：4( 560-563 )