Yoneda I, Nakamura M, Satoh T, Aoki T, Fukushima K
Department of Anesthesiology, National Defence Medical College, Tokorozawa.
Masui. 1991 Jan;40(1):124-8.
A safe and simple method to facilitate retrograde intubation was presented. An epidural catheter was introduced into the oropharynx through a 16-G extracath sheath inserted through the cricothyroid membrane into the trachea. After passing the catheter beyond the distal end of the endotracheal tube, a knot was made. Intubation was done by pulling the catheter, which can be cut apart and pulled out afterwards. This method would make the damage or contamination of the cricothyroid membrane minimum and the trouble of losing the catheter could be abolished. We believe this way of intubation can be applied universally because it needs no special tool or device.
介绍了一种安全简便的促进逆行插管的方法。将一根硬膜外导管通过一个16G的外套管经环甲膜插入气管，再经此外套管将硬膜外导管引入口咽。当导管通过气管导管远端后打一个结。通过牵拉导管进行插管，之后可将导管剪断并拔出。这种方法可使环甲膜的损伤或污染降至最低，且可避免导管丢失的麻烦。我们认为这种插管方式可普遍应用，因为它无需特殊工具或设备。
