Komasawa Nobuyasu, Ueki Ryusuke, Tomita Yukihiko, Kaminoh Yoshiroh, Tashiro Chikara
Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya 663-8501.
Masui. 2011 Jan;60(1):84-7.
We report a case of awake intubation utilizing Pentax-AWS Airwayscope in semi-sitting position. A 74-year-old man with myasthenia gravis and cervical disc hernia was scheduled for distal gastrectomy under general anesthesia. He could not move his head due to severe cervical disc hernia and also could not sufficiently breathe due to the fatigue of respiratory muscles by myasthenia gravis in supine position. With fentanyl bolus administration and lidocaine spray for laryngotracheal anesthesia, we performed awake intubation in semi-sitting position with AWS from cranial side. The patient did not buck during intubation and no hemodynamic change was observed.
我们报告了一例使用宾得AWS可视喉镜在半坐位下行清醒插管的病例。一名74岁患有重症肌无力和颈椎间盘突出症的男性计划在全身麻醉下进行远端胃切除术。由于严重的颈椎间盘突出症，他无法移动头部，并且由于仰卧位时重症肌无力导致呼吸肌疲劳，他也无法充分呼吸。在给予芬太尼推注和利多卡因喷雾进行咽喉气管麻醉后，我们从颅侧用AWS在半坐位下进行了清醒插管。插管过程中患者未出现呛咳，也未观察到血流动力学变化。
