Masuda Yuri, Takahashi Hidemasa, Yoshimura Atsushi, Tagawa Kyoko, Suzuki Takeo
Department of Anesthesiology, Metropolitan Bokutoh Hospital, Tokyo 130-8575.
Masui. 2013 Jan;62(1):83-6.
A 71-year-old man with sigmoid colon cancer was scheduled for the sigmoidectomy under general anesthesia. In preoperative examination, an epiglottic cyst was found accidentally. He had no subjective symptom. Rapid induction with remifentanil, propofol, rocuronium and ephedrine was performed, and the mask ventilation was easy. The Airway Scope (AWS) was inserted at first, but it was difficult to intubate because of the epiglottic cyst. Then a gum elastic bougie (GEB) was inserted under observation by AWS monitor. GEB was passed into the trachea, and the tube was passed over the GEB into the trachea. Combined use of AWS and GEB is useful for endotracheal intubation in a patient with a epiglottic cyst.
一名71岁的乙状结肠癌男性患者计划在全身麻醉下行乙状结肠切除术。在术前检查中，意外发现会厌囊肿。他没有主观症状。采用瑞芬太尼、丙泊酚、罗库溴铵和麻黄碱进行快速诱导，面罩通气顺利。首先插入气道镜（AWS），但由于会厌囊肿，插管困难。然后在AWS监测下插入弹性橡胶探条（GEB）。GEB进入气管，然后将气管导管沿GEB置入气管。联合使用AWS和GEB有助于会厌囊肿患者的气管插管。
