使用麦格拉斯MAC视频喉镜气管插管后会厌向下折叠进入喉入口：一例病例报告。
Downfolding of the epiglottis into the laryngeal inlet after tracheal intubation using the McGRATH MAC videolaryngoscope: a case report.
作者信息
Soma Haruno, Furutani Kenta, Hibino Ayaka, Hibino Akinobu, Baba Hiroshi
机构信息
Department of Anesthesiology, Niigata University Medical and Dental Hospital, 1-754 Asahimachi-dori, Chuo-ku, Niigata, 951-8520, Japan.
Department of Anesthesiology, Niigata City General Hospital, 463-7 Shumoku, Chuo-ku, Niigata, 951-8550, Japan.
出版信息
JA Clin Rep. 2020 Jun 5;6(1):42. doi: 10.1186/s40981-020-00349-0.
BACKGROUND
Downfolding of the epiglottis into the laryngeal inlet is considered to be a rare complication of tracheal intubation. We describe a case of epiglottic downfolding during tracheal intubation using a McGrath videolaryngoscope (McGRATH MAC).
CASE PRESENTATION
A 44-year-old female was scheduled for breast reconstruction surgery. Intubation was performed using a McGrath videolaryngoscope. After intubation, videolaryngoscopy revealed that the epiglottis was inverted and folded down into the laryngeal inlet. We elevated the larynx anteriorly using the McGrath videolaryngoscope, enabling the downfolded epiglottis to be pulled out from the laryngeal inlet and restored to its original position. After surgery, the patient was extubated without any complications.
CONCLUSIONS
When using the McGrath videolaryngoscope, both glottic exposure similar to that achieved with the Macintosh laryngoscope and careful observation of the epiglottis should enable the prevention, detection, and treatment of epiglottic downfolding into the laryngeal inlet.
背景
会厌向下折叠进入喉入口被认为是气管插管的一种罕见并发症。我们描述了一例使用麦格拉思视频喉镜（McGRATH MAC）进行气管插管时发生会厌向下折叠的病例。
病例介绍
一名44岁女性计划进行乳房重建手术。使用麦格拉思视频喉镜进行插管。插管后，视频喉镜检查显示会厌倒置并向下折叠进入喉入口。我们使用麦格拉思视频喉镜向前抬起喉部，使向下折叠的会厌从喉入口中拉出并恢复到原来位置。术后，患者顺利拔管，无任何并发症。
结论
使用麦格拉思视频喉镜时，既能获得与麦金托什喉镜相似的声门暴露，又能仔细观察会厌，应可预防、发现和治疗会厌向下折叠进入喉入口的情况。
Zotero 插件