用于患有特雷彻·柯林斯综合征患者的鼻气管导管换为口气管导管的喉罩气道。

The Laryngeal Mask Airway for exchange of a nasal for an orotracheal tube in a patient with Treacher Collins syndrome.

作者信息

Umegaki Takeshi, Murao Kohei, Asai Takashi, Shingu Koh

机构信息

Department of Anesthesiology, Kansai Medical University, Osaka, 570-8507, Japan.

出版信息

J Clin Anesth. 2007 Sep;19(6):467-9. doi: 10.1016/j.jclinane.2006.12.009.

DOI:10.1016/j.jclinane.2006.12.009

PMID:17967679

Abstract

A new method of exchange of nasotracheal to orotracheal tube, using the Laryngeal Mask Airway (LMA), in a patient with difficult airway, is described. A 36-year-old woman with Treacher Collins syndrome was scheduled for a malar apatite cutting and a chin-level osteotomy. It was necessary to exchange a nasotracheal tube for an orotracheal tube during the operation. An LMA was inserted while the nasotracheal tube was left in place; a new tube was inserted in the LMA, then a fiberoptic laryngoscope (fiberscope) was inserted through these devices. The nasotracheal tube cuff was deflated, and the fiberscope was inserted into the trachea alongside the nasotracheal tube. The nasotracheal tube was removed, and the oral tube was then advanced into the trachea.

摘要

描述了一种在气道困难患者中使用喉罩气道（LMA）将鼻气管导管更换为口气管导管的新方法。一名患有特雷彻·柯林斯综合征的36岁女性计划进行颧骨磷灰石切割和下巴水平截骨术。手术期间有必要将鼻气管导管更换为口气管导管。在保留鼻气管导管的同时插入LMA；将一根新导管插入LMA，然后通过这些装置插入纤维喉镜（纤维镜）。放气鼻气管导管的气囊，然后将纤维镜沿鼻气管导管插入气管。拔出鼻气管导管，然后将口导管推进气管。