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合适的斜角前端宽度有助于在会厌难以移位的情况下放置气管导管引导器。

Appropriate angled-tip front width facilitates tracheal tube introducer placement in difficult-to-displace epiglottis situations.

作者信息

Dutta Amitabh, Gupta Manish, Choudhary Prabhat Kumar, Sood Jayashree

机构信息

Department of Anaesthesiology, Pain, and Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi, India.

出版信息

Indian J Anaesth. 2018 Mar;62(3):229-232. doi: 10.4103/ija.IJA_639_17.

DOI:10.4103/ija.IJA_639_17
PMID:29643559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5881327/
Abstract

Tracheal tube introducers (TTIs) are a useful aid to a conventional laryngoscopy-intubation method of upper airway access in adults. However, even when TTIs are used, successful tracheal intubation is not guaranteed. Apart from suboptimal practice proficiency and unavailability of the complete repertoire of TTI, the physical attributes of the TTI have a role to play. Our report on the management of two cases highlights the importance of selecting a TTI with appropriate angled tip characteristics to facilitate successful guided intubation.

摘要

气管导管引导器（TTIs）是成人上气道常规喉镜插管方法的一种有用辅助工具。然而，即使使用TTIs，也不能保证气管插管成功。除了操作熟练程度欠佳和TTIs全套工具难以获取外，TTIs的物理特性也起着一定作用。我们对两例病例的处理报告强调了选择具有合适尖端角度特征的TTIs以促进引导插管成功的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ff/5881327/cd235bc856d2/IJA-62-229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ff/5881327/cd235bc856d2/IJA-62-229-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2ff/5881327/cd235bc856d2/IJA-62-229-g001.jpg

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本文引用的文献

1
The role of tracheal tube introducers and stylets in current airway management.气管导管导入器和管芯在当前气道管理中的作用。
J Clin Monit Comput. 2017 Jun;31(3):531-537. doi: 10.1007/s10877-016-9879-8. Epub 2016 Apr 16.
2
Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults.困难气道协会2015年成人意外困难插管管理指南。
Br J Anaesth. 2015 Dec;115(6):827-48. doi: 10.1093/bja/aev371. Epub 2015 Nov 10.
3
Tracheal tube introducers: choose and use with care.气管导管导入器：谨慎选择并使用。
Anaesthesia. 2010 Aug;65(8):859. doi: 10.1111/j.1365-2044.2010.06432.x.
4
Evaluation of tracheal tube introducers in simulated difficult intubation.模拟困难插管中气管导管引导器的评估
Anaesthesia. 2009 Mar;64(3):309-14. doi: 10.1111/j.1365-2044.2008.05745.x.
5
Intubation bougie dissection of tracheal mucosa and intratracheal airway obstruction.气管插管探条致气管黏膜剥离及气管内气道梗阻
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Anaesthesia. 2002 Apr;57(4):379-84. doi: 10.1046/j.1365-2044.2002.02411.x.
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