Schenk Andreas, Markus Christian K, Kranke Peter
Anasthesiol Intensivmed Notfallmed Schmerzther. 2014 Feb;49(2):92-9. doi: 10.1055/s-0034-1368675. Epub 2014 Feb 23.
Awake fiberoptic intubation seems to continually lose importance in recent years. Alternative options of airway management are coming more and more into the focus of clinical anaesthesia and are moreover advertised specifically for the difficult airway. The concern seems justified that this intubation technique - once the indisputed standard in the management of the anticipated difficult airway - is practised less and less so that especially younger colleagues can hardly gain routine practice. This article aims at counteracting this trend and particularly demonstrates a practical approach. Against this background the equipment is described and tips and tricks are given for execution. The main focus are safety aspects and the success factor of a good topical mucosal anaesthesia, which is of greater importance than a concomitant sedation.
近年来,清醒纤维支气管镜引导插管似乎越来越不受重视。气道管理的其他选择越来越成为临床麻醉的焦点,并且还专门针对困难气道进行宣传。曾经在预期困难气道管理中无可争议的标准插管技术,如今应用越来越少,这一担忧似乎是合理的,以至于尤其是年轻的同事很难获得常规实践经验。本文旨在扭转这一趋势,特别展示一种实用方法。在此背景下,描述了设备,并给出了操作的技巧和窍门。主要重点是安全方面以及良好的局部黏膜麻醉这一成功因素,局部黏膜麻醉比同时进行的镇静更为重要。