1例口腔手术中气管导管受损后使用麦格拉斯MAC成功进行气管导管更换的病例。
A Case of Successful Tracheal Tube Exchange With McGrath MAC for Tube Damage During Oral Surgery.
作者信息
Koyanagi Yuko, Yokota Eiko, Iwata Marina, Shimazaki Ritsuko, Misaki Toru, Oi Yoshiyuki
机构信息
Department of Anesthesiology, Nihon University School of Dentistry, Tokyo, Japan.
出版信息
Anesth Prog. 2020 Sep 1;67(3):174-176. doi: 10.2344/anpr-67-02-01.
A patient undergoing a bilateral sagittal split and LeFort 1 maxillary osteotomy performed under general anesthesia required emergent intraoperative exchange of a potentially damaged nasotracheal tube. This exchange was smoothly performed under constant indirect visualization using the McGrath MAC video laryngoscopy system. After the exchange, ventilation of the patient dramatically improved. The removed endotracheal tube was torn 19 cm from the distal tip. The McGrath MAC was useful for visualizing the glottis and confirming the entire course of the tube exchange despite the patient's having a difficult airway (Cormack-Lehane grade 3).
一名在全身麻醉下接受双侧矢状劈开截骨术和LeFort 1型上颌骨截骨术的患者，术中需要紧急更换可能受损的鼻气管导管。使用麦格拉斯MAC视频喉镜系统在持续间接可视化的情况下顺利完成了更换。更换后，患者的通气情况显著改善。取出的气管导管在距远端尖端19厘米处撕裂。尽管患者气道困难（Cormack-Lehane分级为3级），麦格拉斯MAC仍有助于可视化声门并确认导管更换的全过程。
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