Mort Thomas C
Department of Anesthesiology, Hartford Hospital, University of Connecticut School of Medicine, Hartford, Connecticut 06102, USA.
Anesth Analg. 2009 Apr;108(4):1228-31. doi: 10.1213/ane.0b013e3181990a82.
Trachea tube exchange via an airway exchange catheter is commonly combined with conventional laryngoscopy to assist intubation of the trachea. Glottic visualization may not be possible in the difficult airway. A delay in reintubation, airway injury, or intubation failure may complicate "blind" tracheal intubation because of excessive endotracheal tube size or tip impingement on airway structures. Advanced laryngoscopic techniques offering "around the corner" visualization may overcome many of the limitations of conventional laryngoscopy's "line of sight." In this data review, I examined the feasibility and usefulness of transforming a high-risk exchange from a blind procedure into one with improved glottic visualization.
通过气道交换导管进行气管导管更换通常与传统喉镜检查相结合，以协助气管插管。在困难气道中可能无法看到声门。由于气管导管尺寸过大或尖端撞击气道结构，重新插管延迟、气道损伤或插管失败可能会使“盲目”气管插管变得复杂。提供“拐角处”视野的先进喉镜技术可能会克服传统喉镜“视线”的许多局限性。在本次数据回顾中，我研究了将高风险的盲目更换操作转变为声门视野改善的操作的可行性和实用性。
