[使用麦格拉斯可视喉镜与弗罗瓦气管插管引导器处理困难气道]

[McGrath video laryngoscope used with a Frova intubating introducer for management of the difficult airway].

作者信息

Añez Simón C, Montori Lacámara N, Santos Marqués M L, Farre Nebot V, Camps Vidal M, Ramiro Ruiz O, Rull Bartomeu M

机构信息

Servicio de Anestesiología y Reanimación, Hospital Universitario Joan XXIII de Tarragona, C/ Dr. Mallafré Guasch, no 4., 43007 Tarragona.

出版信息

Rev Esp Anestesiol Reanim. 2010 Jan;57(1):61-4. doi: 10.1016/s0034-9356(10)70161-4.

DOI:10.1016/s0034-9356(10)70161-4

PMID:20196522

Abstract

The McGrath video laryngoscope is a new airway management device. It is similar to the Macintosh laryngoscope but incorporates a blade at a 60 degrees angle and a camera that sends an image to a color display screen connected to the handle. The device, which requires use of an anti-fog substance and an introducer to guide the angled blade, has been reported to aid in the management of difficult airways. We present 3 cases of difficult oral-tracheal intubation managed with the McGrath video laryngoscope and a Frova intubating introducer. Advantages of this introducer are that it offers the possibility of administering oxygen or changing the size of the endotracheal tube if the first choice proves inappropriate. We discuss whether or not tests to predict difficult airways are applicable when the McGrath video laryngoscope is being used, given that it is not necessary to align the axes of the 3 airways. We conclude it may be useful to combine the McGrath video laryngoscope and the Frova introducer to manage difficult airways.

摘要

麦格拉斯可视喉镜是一种新型气道管理设备。它与麦金托什喉镜相似，但装有一个呈60度角的镜片和一个摄像头，可将图像传送到连接在手柄上的彩色显示屏。该设备需要使用防雾剂和引导器来引导带角度的镜片，据报道有助于处理困难气道。我们介绍3例使用麦格拉斯可视喉镜和弗罗瓦插管引导器处理困难经口气管插管的病例。这种引导器的优点是，如果首选不合适，它提供了给氧或更换气管导管尺寸的可能性。鉴于使用麦格拉斯可视喉镜时无需使三条气道的轴线对齐，我们讨论了预测困难气道的测试在使用该喉镜时是否适用。我们得出结论，将麦格拉斯可视喉镜和弗罗瓦引导器结合起来处理困难气道可能是有用的。