Aoyama K, Takenaka I
Department of Anesthesia, Moji Rosai Hospital, Kitakyushu.
Masui. 1999 Nov;48(11):1262-6.
Patil-Syracuse mask, recently introduced in Japan, has a port for fiberscopy. A fiberoptic bronchoscope and an endotracheal tube can be passed through the port with little air leakage. Positive pressure ventilation can be continuously maintained using this mask during fiberoptic intubation. This mask is particularly useful when a patient can be easily ventilated through a face mask but the trachea is unexpectedly difficult to intubate. With a modified endoscopy mask technique, the mean expiratory tidal volume of 10 ml.kg-1 could be obtained during fiberoptic orotracheal intubation. We describe a fiberoptic intubation technique using this mask, and discuss the complications and limitations of this method.
帕蒂尔-锡拉丘兹面罩最近在日本推出，它有一个用于纤维内镜检查的端口。纤维支气管镜和气管内导管可以通过该端口插入，且漏气很少。在纤维内镜引导插管期间，使用这种面罩可以持续维持正压通气。当患者通过面罩易于通气但气管插管意外困难时，这种面罩特别有用。采用改良的内镜面罩技术，在纤维内镜引导经口气管插管期间可获得平均呼气潮气量为10 ml.kg-1。我们描述了使用这种面罩的纤维内镜引导插管技术，并讨论了该方法的并发症和局限性。
