Wada Hazuki, Nakamura Katsuhiko, Nishiike Satoshi, Seki Sumihiko, Tsuchida Hideaki
Department of Anesthesiology, Kanazawa Medical University, Kanazawa 920-0293.
Masui. 2006 Apr;55(4):468-70.
Epiglottic cysts often cause difficulty in airway management. A 71-year-old man had extraction for an epiglottic cyst of 4 cm in diameter. Anesthesia was induced with small divided doses of propofol. After verifying that mask ventilation was possible under light anesthesia, vecuronium was used for muscle relaxation. Because of the size of the cyst, it was impossible to observe directly the larynx using a laryngoscope. Therefore, while moving the tongue to the left with the laryngoscope, an endotracheal tube was inserted into the trachea using the Trachlight. The operation was finished in 55-min and the patient was extubated 15 min after the end of the operation. His postoperative course was uneventful and he was discharged from the hospital three days after the operation. The authors conclude that the combined use of the laryngoscope and Trachlight is helpful for endotracheal intubation in patients with large epiglottic cysts.
会厌囊肿常导致气道管理困难。一名71岁男性因直径4厘米的会厌囊肿接受摘除手术。采用小剂量分次给予丙泊酚诱导麻醉。在确认浅麻醉下可行面罩通气后，使用维库溴铵进行肌肉松弛。由于囊肿大小，无法用喉镜直接观察喉部。因此，在喉镜将舌头向左移动时，使用Trachlight将气管导管插入气管。手术历时55分钟完成，术后15分钟拔管。患者术后恢复顺利，术后三天出院。作者得出结论，喉镜和Trachlight联合使用有助于大的会厌囊肿患者进行气管插管。
