Popat M T, Dravid R M, Watt-Smith S R
Department of Maxillo-facial Surgery, Oxford Radcliffe Hospital, UK.
Anaesthesia. 1999 Apr;54(4):359-61. doi: 10.1046/j.1365-2044.1999.00782.x.
Difficulty in tracheal extubation was experienced in a patient following major maxillofacial surgery for reconstruction of the maxilla using bone grafts and a microvascular free flap. With the aid of an intubating flexible fibrescope, the cause of the difficulty was identified as a stitch accidentally transfixed through the tracheal tube. Tracheal re-intubation was required to facilitate surgical exploration to remove the stitch and the proximal end of the tube. The tip of an Olympus LF-2 intubating fibrescope was successfully negotiated in the trachea alongside the original tube with its cuff deflated. This allowed safe and speedy railroading of a new tube immediately after the distal end of the original tube was removed.
一名患者在接受使用骨移植和游离微血管皮瓣重建上颌骨的大型颌面外科手术后，出现了气管拔管困难的情况。借助可插入式柔性纤维喉镜，发现困难的原因是一根缝线意外穿透气管导管。需要再次气管插管以便进行手术探查，以取出缝线和导管近端。奥林巴斯LF - 2型可插入式纤维喉镜的尖端在原导管气囊放气的情况下，成功地沿着原导管插入气管。这使得在原导管远端移除后能够立即安全、快速地插入新导管。
