在一名接受镇静的急诊患者中，使用改良的 Guedel 气道成功完成纤维光学经口气管插管——病例报告。

A fiberoptic orotracheal intubation successfully performed using a modified Guedel airway in a sedated emergency patient - A case report.

作者信息

Yang Jaeyoung, Kim Seonjin, Lee Bousung, Lee Kwanghaeng, Kim Dongseok, Lee Jaedo, Jun Hee Jung, Yoon Jin Sun, Cho Sam Soon

机构信息

Department of Anesthesiology and Pain Medicine, VHS Medical Center, Seoul, Korea.

出版信息

Anesth Pain Med (Seoul). 2020 Jul 31;15(3):378-382. doi: 10.17085/apm.20030.

DOI:10.17085/apm.20030

PMID:33329839

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7713837/

Abstract

BACKGROUND

Fiberoptic intubation is a powerful and safe technique to deal with airway difficulty, but it requires a lot of training to be able to perform correctly. There are various specialized oral airways for fiberoptic intubation, but none of them have perfect functionality.

CASE

A 75-year-old male (body weight 71.6 kg, height 159.3 cm, body mass index 28.22 kg/m) was diagnosed with acute appendicitis, and it was decided to do a laparoscopic appendectomy. After the induction of general anesthesia, it was impossible to insert the direct laryngoscope deep enough for vocal cord visualization without damaging the teeth because of limited mouth opening. We successfully performed fiberoptic intubation with a newly modified Guedel airway via a longitudinal channel on the convex side and a distal opened lingual end.

CONCLUSIONS

Our modified Guedel airway can be useful in assisting fiberoptic intubation in unexpectedly difficult airway situations.

摘要

背景

纤维支气管镜引导插管是处理气道困难的一种有效且安全的技术，但需要大量训练才能正确操作。有多种用于纤维支气管镜引导插管的专用口咽气道，但它们都没有完美的功能。

病例

一名75岁男性（体重71.6千克，身高159.3厘米，体重指数28.22千克/米²）被诊断为急性阑尾炎，决定行腹腔镜阑尾切除术。全身麻醉诱导后，由于张口受限，无法将直接喉镜插入足够深度以暴露声带而不损伤牙齿。我们通过在凸面的纵向通道和远端开口的舌端使用新改良的 Guedel 气道成功进行了纤维支气管镜引导插管。