Gruenbaum Shaun E, Gruenbaum Benjamin F, Tsaregorodtsev Sergey, Dubilet Michael, Melamed Israel, Zlotnik Alexander
Department of Anesthesiology and Critical Care, Soroka Medical Center and Ben Gurion University of the Negev, Beer Sheva, Israel.
J Med Case Rep. 2012 Apr 13;6:108. doi: 10.1186/1752-1947-6-108.
The Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA) has been shown to successfully facilitate difficult intubations when other methods have failed. The Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA) has a fixed length of 56 cm, and it has been suggested in the literature that it may be too short for safe use in patients who are tall.
We present the case of a 32-year-old, 180 cm tall Caucasian woman with a predicted difficult airway who presented to our facility for an emergency cesarean section. After several failed intubation attempts via direct laryngoscopy, an airway was established with a laryngeal mask airway. After delivery of a healthy baby, our patient's condition necessitated tracheal intubation. A fiber-optic bronchoscope loaded with an Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA) was passed through the laryngeal mask airway into the trachea until just above the carina, but was too short to safely allow for the passage of an endotracheal tube.
We present a novel technique in which the Aintree intubating catheter (Cook® Medical Inc., Bloomington, IN, USA) was replaced with a longer (100 cm) exchange catheter, over which an endotracheal tube was passed successfully into the trachea.
当其他方法失败时，安特里插管导管（美国印第安纳州布卢明顿市库克医疗公司）已被证明能成功辅助困难插管。安特里插管导管（美国印第安纳州布卢明顿市库克医疗公司）的固定长度为56厘米，文献中有人提出，对于身材高大的患者，其长度可能过短，无法安全使用。
我们报告一例32岁、身高180厘米的白种女性患者，预计气道困难，因急诊剖宫产入住我院。经直接喉镜多次插管尝试失败后，通过喉罩气道建立了气道。在娩出一名健康婴儿后，患者的病情需要进行气管插管。将装有安特里插管导管（美国印第安纳州布卢明顿市库克医疗公司）的纤维支气管镜经喉罩气道插入气管，直至隆突上方，但因导管过短，无法安全地让气管导管通过。
我们介绍一种新技术，即用更长（100厘米）的交换导管替换安特里插管导管（美国印第安纳州布卢明顿市库克医疗公司），并通过该交换导管成功将气管导管插入气管。
