Hartman Michael T, Lang John
Lehigh Valley Anesthesia Services, Allentown, Pennsylvania, USA.
AANA J. 2009 Dec;77(6):437-8.
Inadvertent deflation of the endotracheal tube cuff during a tracheotomy can complicate the surgical procedure, especially in a morbidly obese patient. Also, the anesthesia provider may lose control of the airway, with the inability to reintubate in case of airway edema, airway secretions, or airway fire. The use of the GlideScope video laryngoscope (Verathon Inc, Bothell, Washington) in the morbidly obese patient undergoing a tracheotomy has clinical benefits. This device allowed the visualization of the airway anatomy in 2 patients and the manipulation of the punctured endotracheal tube cuff in one case.
气管切开术中气管内导管套囊意外放气会使手术过程复杂化，尤其是在病态肥胖患者中。此外，麻醉师可能会失去气道控制，在出现气道水肿、气道分泌物或气道着火的情况下无法重新插管。在接受气管切开术的病态肥胖患者中使用GlideScope视频喉镜（Verathon公司，华盛顿州博塞尔）具有临床益处。该设备使2例患者的气道解剖结构得以可视化，1例患者成功处理了刺破的气管内导管套囊。
