Asai T, Okuda H, Shingu K
Department of Anesthesiology, Kansai Medical University, Moriguchi.
Masui. 1999 Apr;48(4):419-20.
The intubating laryngeal mask has a potential role for tracheal intubation in patients with difficult airways, but there have been only reports of the techniques of blind tracheal intubation through the intubating laryngeal mask. The success rate of blind intubation at the first attempt may be merely 50-60% even in patients with normal airways. We report the use of the intubating laryngeal mask for tracheal intubation in three patients with difficult airways, in whom a tube was easily inserted through the laryngeal mask into the trachea either blindly, using a fiberoptic bronchoscope or using a lighted stylet.
插管喉罩在气道困难患者的气管插管中具有潜在作用，但目前仅有通过插管喉罩进行盲目气管插管技术的报道。即使在气道正常的患者中，首次盲目插管的成功率可能也仅为50% - 60%。我们报告了3例气道困难患者使用插管喉罩进行气管插管的情况，在这些患者中，通过喉罩将气管导管顺利插入气管，分别采用了盲目插管、纤维支气管镜引导或光索引导的方法。
