Scheller B, Walcher F, Byhahn C, Zacharowski K, Bingold T M, Schalk R
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Klinikum der Goethe-Universität Frankfurt am Main, Deutschland.
Anaesthesist. 2010 Mar;59(3):210-2, 214-6. doi: 10.1007/s00101-010-1681-2.
The difficult airway remains a challenge especially in emergencies.
The use of laryngeal tube suction in 8 cases involving difficult airways in emergencies was reviewed.
Use of the laryngeal tube was successful in all cases to bridge patients until a secure airway was established; insertions were successful at the first attempt and classified as easy. In 6 out of 8 patients a secure airway was established by cricothyreotomy or by surgical tracheotomy while using the laryngeal tube for oxygenation and ventilation of the patient.
The laryngeal tube allows rapid oxygenation in emergency patients with a difficult airway until a secure airway can be established. In cases of potentially life saving operations successful ventilation via the laryngeal tube might allow the priority of establishing a secure airway to be deferred.
困难气道仍然是一项挑战,尤其是在紧急情况下。
回顾了8例紧急情况下困难气道使用喉罩吸引的情况。
在所有病例中使用喉罩均成功,使患者在建立安全气道之前得以维持;首次插入成功,分类为容易。8例患者中有6例在使用喉罩为患者进行氧合和通气的同时,通过环甲膜切开术或外科气管切开术建立了安全气道。
喉罩可使紧急情况下困难气道患者迅速获得氧合,直至建立安全气道。在可能挽救生命的手术中,通过喉罩成功通气可能使建立安全气道的优先级得以推迟。