在困难气道中使用视频喉镜进行联合导管更换

Use of the video laryngoscopy for Combitube exchange in a difficult airway.

作者信息

Lam Nicholas C, Hagberg Carin A, Bassili Lisa M

机构信息

Department of Anesthesiology, The University of Texas Medical School at Houston, Houston, TX 77030, USA.

出版信息

J Clin Anesth. 2009 Jun;21(4):294-6. doi: 10.1016/j.jclinane.2008.08.025. Epub 2009 Jun 6.

DOI:10.1016/j.jclinane.2008.08.025

PMID:19502024

Abstract

Following failed intubation attempts via conventional direct laryngoscopy, an Esophageal Tracheal Combitube was successfully placed in the esophagus of a 51-year-old man with a subdural hematoma and uncleared cervical spine. The decision was made to change the Combitube for an endotracheal tube (ETT). After deflation of the large oropharyngeal cuff of the Combitube, video laryngoscopy was performed with the Direct Coupled Interface (DCI) video intubation system, and the Combitube was exchanged for an ETT with the assistance of a gum elastic bougie.

摘要

在通过传统直接喉镜进行插管尝试失败后，一根食管气管联合导管成功置入一名51岁患有硬膜下血肿且颈椎情况不明的男性患者的食管。决定将联合导管更换为气管内导管（ETT）。在给联合导管的大咽囊放气后，使用直接耦合接口（DCI）视频插管系统进行视频喉镜检查，并在弹性橡胶探条的辅助下将联合导管更换为气管内导管。