Bahk J H, Han S M, Kim S D
Department of Anaesthesiology, Seoul National University Hospital, Korea.
Paediatr Anaesth. 1999;9(2):163-6. doi: 10.1046/j.1460-9592.1999.9220305.x.
We report four cases of difficult airway managed with a laryngeal mask airway (LMA) under propofol anaesthesia; this method was chosen to minimize psychological and physical trauma. Case 1 was a boy with dermatomyositis; Case 2, a girl wearing a base ring of a stereotactic frame; Case 3, a boy with Treacher-Collins syndrome; Case 4, a boy with Goldenhar syndrome. They were anaesthesized with propofol and though spontaneous ventilation became shallower, or apnoea occurred, the stimulus of inserting an LMA awakened the patient and caused more active spontaneous ventilation while a patent airway was established by the LMA. All tracheal intubations were performed smoothly and without delay through the LMA, and we believe that psychological and physical trauma was thus minimized.
我们报告了4例在丙泊酚麻醉下使用喉罩气道（LMA）处理困难气道的病例；选择该方法是为了尽量减少心理和身体创伤。病例1是一名患有皮肌炎的男孩；病例2是一名戴着立体定向框架基环的女孩；病例3是一名患有特雷彻 - 柯林斯综合征的男孩；病例4是一名患有戈尔登哈综合征的男孩。他们均用丙泊酚麻醉，尽管自主呼吸变浅或出现呼吸暂停，但插入LMA的刺激唤醒了患者，并在LMA建立通畅气道的同时引起更活跃的自主呼吸。所有气管插管均通过LMA顺利且及时地完成，我们认为由此将心理和身体创伤降至了最低。
