Cavus Erol, Bein Berthold, Dörges Volker
Anasthesiol Intensivmed Notfallmed Schmerzther. 2011 Sep;46(9):588-96. doi: 10.1055/s-0031-1286611. Epub 2011 Sep 5.
Endotracheal intubation remains the "goldstandard" in airway management. If with use of conventional techniques intubation of the patient fails, or if an anticipated difficult airway is present, video-assisted techniques may help to increase intubation success. Video-assisted techniques give the possibility to indirectly visualise the laryngeal structures with fibreoptical or camerachip-technique, and to display the videopicture on an external or integrated monitor. For the anticipated difficult airway, awake flexible fibreoptical intubation still is the first choice. However, if Oxygenation and Ventilation can be established with bag-mask ventilation or supraglottic airways, the use of an endoscopic optical stylet or a videolaryngoscope may be alternatives. If the algorithm for the unanticipated difficult airway can be safely administered, the latter techniques may also be used as emergency intubation devices.
气管插管仍然是气道管理的“金标准”。如果使用传统技术对患者进行插管失败，或者存在预期的困难气道，视频辅助技术可能有助于提高插管成功率。视频辅助技术使得通过纤维光学或摄像芯片技术间接可视化喉部结构，并将视频图像显示在外部或集成显示器上成为可能。对于预期的困难气道，清醒的柔性纤维光学插管仍然是首选。然而，如果通过面罩通气或声门上气道能够建立氧合和通气，使用内镜光学探条或视频喉镜可能是替代方法。如果能够安全应用针对意外困难气道的算法，后一种技术也可作为紧急插管设备使用。
