Glogov S
Khirurgiia (Sofiia). 1990;43(3):65-73.
A historical review of the development of endotracheal intubation is made. Clinical and some X-ray features, allowing to prognosticate the difficult intubation are searched for. Classifications are suggested of the possible reasons for difficulties. It is emphasized that at present there are no reliable criteria for prognosticating difficult tracheal intubation. The possible techniques which might help to overcome the difficulties are indicated. Endotracheal intubation is a particularly responsible element of general anesthesia and even highly experienced anesthesiologists may be faced with difficulties. It is a stress moment both for the patient and for the anesthesiologist. The signs through which the anesthesiologist may determine the position of the tube and rule out eventual esophageal intubation are systematized. Percentages are given on the relative incidence of difficult intubations and fiber optic intubations [correction of fibrointubations] in the different aspects of operative surgery.
对气管插管术的发展进行了历史回顾。寻找有助于预测困难插管的临床和一些X线特征。提出了困难原因的分类。强调目前尚无预测困难气管插管的可靠标准。指出了可能有助于克服困难的技术。气管插管是全身麻醉中特别关键的环节，即使经验丰富的麻醉医生也可能面临困难。这对患者和麻醉医生来说都是压力时刻。对麻醉医生可用于确定导管位置并排除食管插管可能性的体征进行了系统化整理。给出了手术不同方面困难插管和纤维光导插管[纠正为纤维插管]相对发生率的百分比。
