King H K, Chen F M, Khan A K, Wooten D J
Department of Anesthesiology, King/Drew Medical Center, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059.
J Clin Anesth. 1988;1(2):112-4. doi: 10.1016/0952-8180(88)90030-x.
Airway obstruction during the induction of general anesthesia remains a persistent problem in modern anesthesia practice, particularly in obstetric patients. Generally, a careful preoperative airway evaluation uncovers most abnormalities that might make intubation difficult. The planning and preparation for additional intubation equipment facilitate an anticipated difficult intubation. However, situations may arise in which unanticipated airway obstruction occurs requiring prompt management. Although every anesthesia provider is trained to manage such acute airway problems, the provision of a patent airway is not always possible, particularly when repeated attempts at endoscopic or blind intubation have failed, leaving a bloody field that prevents optimal visualization, or when time does not allow to wake up the patient. In this article a difficult airway problem is reported in which translaryngeal guided intubation was lifesaving.
在现代麻醉实践中，全身麻醉诱导期间的气道梗阻仍然是一个长期存在的问题，尤其是在产科患者中。一般来说，仔细的术前气道评估能发现大多数可能导致插管困难的异常情况。对额外插管设备的规划和准备有助于应对预期的困难插管情况。然而，可能会出现意外的气道梗阻情况，需要迅速处理。尽管每位麻醉医生都接受过处理此类急性气道问题的培训，但确保气道通畅并不总是可行的，特别是在内镜插管或盲目插管多次尝试失败，留下妨碍最佳视野的出血区域时，或者时间不允许唤醒患者时。本文报告了一例经喉引导插管挽救生命的困难气道病例。
