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使用C-MAC视频喉镜进行袖带充气以辅助经鼻气管插管。

Cuff inflation to aid nasotracheal intubation using the C-MAC videolaryngoscope.

作者信息

Baddoo H K, Phillips B J

机构信息

Department of Anaesthesia, Korle-Bu Teaching Hospital, Accra.

出版信息

Ghana Med J. 2011 Jun;45(2):84-6. doi: 10.4314/gmj.v45i2.68934.

DOI:10.4314/gmj.v45i2.68934
PMID:21857727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3158534/
Abstract

A preliminary report is presented of a technique for using the C-MAC videolaryngoscope to carry out nasopharyngeal intubations. The main thrust of the technique is that cuff inflation of the endotracheal tube is used to lift the endotracheal tube off the posterior pharyngeal wall and thus direct it towards the glottis. The technique was used successfully in 5 consecutive patients needing nasotracheal intubation. Indeed a couple of these patients might have been difficult to intubate using conventional laryngoscopy. The full technique is described together with pictures at the various stages of intubation.

摘要

本文初步报告了一种使用C-MAC视频喉镜进行鼻咽插管的技术。该技术的主要要点是利用气管导管的套囊充气将气管导管从咽后壁抬起,从而使其对准声门。该技术在连续5例需要鼻气管插管的患者中成功应用。事实上,其中一些患者使用传统喉镜插管可能会很困难。本文完整描述了该技术,并配有插管各阶段的图片。

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本文引用的文献

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Pentax-AWS videolaryngoscope for awake nasal intubation in patients with unstable necks.Pentax-AWS 可视喉镜用于不稳定颈部患者的清醒经鼻插管。
Br J Anaesth. 2010 Jan;104(1):108-11. doi: 10.1093/bja/aep316.
2
The C-MAC videolaryngoscope: first experiences with a new device for videolaryngoscopy-guided intubation.C-MAC 视频喉镜:一种用于视频喉镜引导插管的新设备的初步经验。
Anesth Analg. 2010 Feb 1;110(2):473-7. doi: 10.1213/ANE.0b013e3181c5bce5. Epub 2009 Nov 16.
3
Randomized controlled trial of the Pentax AWS, Glidescope, and Macintosh laryngoscopes in predicted difficult intubation.宾得AWS喉镜、Glidescope喉镜和麦金托什喉镜用于预测困难气道插管的随机对照试验。
Br J Anaesth. 2009 Nov;103(5):761-8. doi: 10.1093/bja/aep266. Epub 2009 Sep 24.
4
A comparison of glidescope videolaryngoscopy to direct laryngoscopy for nasotracheal intubation.用于鼻气管插管的Glidescope视频喉镜与直接喉镜的比较。
Anesth Analg. 2008 Jul;107(1):144-8. doi: 10.1213/ane.0b013e31816d15c9.
5
Blind nasotracheal intubation is facilitated by neutral head position and endotracheal tube cuff inflation in spontaneously breathing patients.对于自主呼吸的患者,中立位头部姿势和气管导管套囊充气有助于盲探经鼻气管插管。
Can J Anaesth. 2003 May;50(5):511-3. doi: 10.1007/BF03021066.
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Nasotracheal intubation in patients with immobilized cervical spine: a comparison of tracheal tube cuff inflation and fiberoptic bronchoscopy.颈椎固定患者的鼻气管插管:气管导管套囊充气与纤维支气管镜检查的比较
Anesth Analg. 1998 Aug;87(2):400-2. doi: 10.1097/00000539-199808000-00031.