Chen Kuan-Yu, Lin Shih-Kai, Hsiao Chia-Liang, Hsu Wei-Ti, Tsao Shao-Lun
Department of Anesthesiology, Changhua Christian Hospital, 135 Nanhsiao Street, Taiwan, R.O.C.
Acta Anaesthesiol Taiwan. 2011 Mar;49(1):26-8. doi: 10.1016/j.aat.2011.02.002. Epub 2011 Mar 17.
In clinical scenarios, the insertion of double-lumen endobronchial tubes (DLTs) is usually employed as a technique of separation of lungs for treatment purposes inclusive of one-lung ventilation for the ease of thoracic surgery. However, in patients with difficult airways, the DLT intubation can be challenging, even with the aid of a fiberoptic bronchoscope (FOB). Insertion of the FOB itself into the trachea may be relatively simple, but the advancement of the DLT with the FOB enclosed in the lumen may be hindered by the abnormal or diseased laryngeal aperture. Herein, we present an alternative approach by using a 5.5-mm video FOB to monitor the DLT rather than using it to act as an introducer to overcome the difficulties often met in DLT intubation in oral cancer patients.
在临床场景中，插入双腔支气管导管（DLT）通常作为一种肺隔离技术用于治疗目的，包括为便于胸外科手术进行单肺通气。然而，对于气道困难的患者，即使借助纤维支气管镜（FOB），DLT插管也可能具有挑战性。将FOB本身插入气管可能相对简单，但将FOB置于管腔内推进DLT时，可能会受到异常或病变的喉口阻碍。在此，我们提出一种替代方法，即使用5.5毫米视频FOB来监测DLT，而不是将其用作引导器，以克服口腔癌患者DLT插管中经常遇到的困难。
