Fujiwara Atsushi, Komasawa Nobuyasu, Nishihara Isao, Minami Toshiaki
Masui. 2015 May;64(5):537-9.
Here we report our success in performing lateral approach tracheal intubation in a patient with severe respiratory failure due to septic shock caused by shoulder joint abscess. A 71-year-old woman presented with severe respiratory difficulty due to sepsis from a shoulder joint abscess and was scheduled for emergent drainage and irrigation. She could not breathe sufficiently in the supine position and thus maintained a semi-sitting position. She was also unable to move from the ward bed to the operating table due to severe shoulder pain. We induced anesthesia in a semi-sitting position in the ward bed. Mask ventilation was performed using the two-hand technique from the lateral approach. Tracheal intubation was also performed with a left lateral approach utilizing the Pentax-AWS Airwayscope (AWS). Lateral approach for tracheal intubation utilizing AWS may be useful in patients who present with severe respiratory difficulty.
在此，我们报告了成功为一名因肩关节脓肿导致脓毒性休克而出现严重呼吸衰竭的患者实施侧入路气管插管的病例。一名71岁女性因肩关节脓肿引发败血症，出现严重呼吸困难，计划进行紧急引流和冲洗。她仰卧位时呼吸不足，因此保持半坐位。由于肩部剧痛，她也无法从病房床移至手术台。我们在病房床的半坐位下实施麻醉。采用双手技术从侧入路进行面罩通气。还使用宾得AWS可视喉镜（AWS）经左侧入路进行气管插管。对于出现严重呼吸困难的患者，利用AWS进行气管插管的侧入路方法可能有用。
