Kakinohana M, Matsuda S, Tamae A, Okuda Y
Division of Anesthesia, Okinawa Prefectural Miyako Hospital, Taira.
Masui. 2000 Apr;49(4):410-3.
We used intubating laryngeal mask airway (ILM) for three patients with difficult intubation, and tracheal intubation was successfully performed through the ILM in all three cases. Difficult intubation in the first case was caused by direct invasion of malignant lymphoma into the right maxillary sinus leading to restricted mouth opening. Neck stiffness due to invasion of metastatic cancer into the cervical spine in the second case and facial trauma caused by traffic accident in the third case gave rise to the difficult intubation. Insertion of the ILM was successfully performed in all the patients following induction of general anesthesia, and the ventilation through the ILM was possible without any difficulties. Subsequently, all patients were intubated through the ILM successfully. We realized that the ILM is useful and should be prepared on the induction of anesthesia in patients suspected of difficult intubation.
我们对3例插管困难的患者使用了插管型喉罩气道（ILM），3例均通过ILM成功实施了气管插管。第一例插管困难是由于恶性淋巴瘤直接侵犯右上颌窦导致张口受限。第二例是转移性癌侵犯颈椎引起颈部僵硬，第三例是交通事故导致面部创伤，这些情况均造成了插管困难。所有患者在全身麻醉诱导后均成功插入ILM，通过ILM通气顺利。随后，所有患者均通过ILM成功插管。我们认识到ILM很有用，对于怀疑插管困难的患者，应在麻醉诱导时准备好。
