Suzuki Yutaro, Takenami Tamie, Fujino Saki, Nakazawa Ayano, Okamoto Hirotsugu
Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 252-0375, Japan.
Department of Anesthesiology, Kitasato University School of Medicine, 1-15-1 Kitasato, Sagamihara, Kanagawa, 225-0374, Japan.
J Anesth. 2020 Jun;34(3):468-471. doi: 10.1007/s00540-020-02760-4. Epub 2020 Mar 21.
We report successful awake intubation in a morbidly obese patient (body mass index of 61.2) using an epidural catheter inserted through the external forceps channel of the fiberscope for delivery of local anesthetic. Direct application of local anesthetic to the pharyngolaryngeal area and proximal tracheal, through the use of a relatively firm epidural catheter. We conclude that awake intubation can be achieved by this method which spares the subsequent use of any sedative drugs.
我们报告了对一名病态肥胖患者（体重指数为61.2）成功实施清醒插管，通过经纤维喉镜的外部钳道插入硬膜外导管来输送局部麻醉剂。通过使用相对较硬的硬膜外导管，将局部麻醉剂直接应用于咽喉区域和气管近端。我们得出结论，通过这种方法可以实现清醒插管，从而避免后续使用任何镇静药物。
