Taguchi Asuka, Arai Takero, Enomoto Yoshiro, Chiba Ayako, Kamishima Keiichiro, Kuno Yuichiro, Okuda Yasuhisa
Department of Anesthesiology, Dokkyo Medical University, Koshigaya Hospital, Koshigaya 343-8555.
Masui. 2010 Feb;59(2):268-72.
Several case reports have shown that the Airway Scope is useful in patients with difficult airways. We experienced five patients with known or predicted difficult airways who underwent awake intubation using the Airway Scope. The patients were known or predicted as having a difficult airway due to the following factors: limited head and neck movement (2 cases), risk for aspiration of gastric contents (1 case), and the thyroid tumor causing displacement of the trachea (2 cases). After the desired sedation with fentanyl and topical anesthesia of the airway, awake intubation was performed using the Airway Scope. All patients were successfully intubated without any complications. This experience suggests that the technique has the following advantages. First, the Airway Scope allows detection of regurgitation and vomiting during intubation and avoids accidental esophageal intubation. Second, the Airway Scope provides a useful means of teaching and supervising tracheal intubation compared with the conventional Macintosh laryngoscope. We believe that this method can achieve effective, safe and successful awake intubation in patients with known or predicted difficult airways.
几例病例报告显示，气道镜在气道困难的患者中很有用。我们遇到了5例已知或预计气道困难的患者，他们使用气道镜进行了清醒插管。这些患者因以下因素被认为或预计气道困难：头颈部活动受限（2例）、胃内容物误吸风险（1例）以及甲状腺肿瘤导致气管移位（2例）。在给予芬太尼达到所需镇静效果并对气道进行表面麻醉后，使用气道镜进行清醒插管。所有患者均成功插管，无任何并发症。该经验表明该技术具有以下优点。首先，气道镜可在插管过程中检测反流和呕吐，并避免意外食管插管。其次，与传统的麦金托什喉镜相比，气道镜为气管插管的教学和监督提供了一种有用的手段。我们认为，这种方法可以在已知或预计气道困难的患者中实现有效、安全和成功的清醒插管。
