Hung Kuo-Chuan
Department of Anesthesiology, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan.
Acta Anaesthesiol Taiwan. 2013 Jun;51(2):90-3. doi: 10.1016/j.aat.2013.06.002. Epub 2013 Jul 16.
The Trachway intubating stylet is designed to facilitate tracheal intubation in anesthetized patients with a normal or difficult airway anatomy. The shortcoming of this device is the lack of a working channel to provide topicalization of the airway. We describe a novel modified method of using Trachway intubating stylet to provide airway topicalization and perform awake orotracheal intubation in two cases with an anticipated difficult airway. The first case was a superobese patient with a cervical spine disorder, whereas the second case was a patient with an enlarged thyroid gland. Transtracheal lidocaine injection was technically difficult in these patients because of neck obesity and thyroid enlargement, respectively. We believe that this modified method can be used to provide effective airway topicalization when Trachway intubating stylet is used for awake orotracheal intubation.
气管插管探条旨在便于在气道解剖结构正常或困难的麻醉患者中进行气管插管。该装置的缺点是缺乏用于气道局部麻醉的工作通道。我们描述了一种新颖的改良方法，即使用气管插管探条进行气道局部麻醉，并在两例预计气道困难的病例中实施清醒经口气管插管。第一例是患有颈椎疾病的超级肥胖患者，而第二例是甲状腺肿大的患者。由于颈部肥胖和甲状腺肿大，分别在这些患者中进行经气管利多卡因注射在技术上具有挑战性。我们认为，当使用气管插管探条进行清醒经口气管插管时，这种改良方法可用于提供有效的气道局部麻醉。
