Sun Yongtao, Huang Linlin, Xu Lingling, Zhang Min, Guo Yongle, Wang Yuelan
Department of Anesthesiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Institute of Anesthesia and Respiratory Critical Medicine, Jinan, China.
Department of Anesthesiology, Shandong First Medical University, Jinan, China.
Front Med (Lausanne). 2021 Nov 18;8:763103. doi: 10.3389/fmed.2021.763103. eCollection 2021.
We report insertion of the SaCoVLM in three awake morbidly obese patients (BMI 46. 7-52.1 kg/m). The patients were given intravenous atropine and midazolam injections after entering the operating room and then inhaled an anesthetic with 2% lidocaine atomization. After SaCoVLM insertion while patients were awake, when the vocal cords were visualized, controlled anesthetic induction commenced with spontaneous ventilation. The entire anesthesia induction and intubation process was completed under visualization, and no adverse events such as hypoxemia occurred. No patient had an unpleasant recall of the procedure. We conclude that the SaCoVLM is easy to use, well tolerated and suitable for awake orotracheal intubation in patients with known difficult airways.
我们报告了在三名清醒的病态肥胖患者（BMI 46.7 - 52.1 kg/m²）中插入声门上型喉罩通气道（SaCoVLM）的情况。患者进入手术室后静脉注射阿托品和咪达唑仑，然后通过2%利多卡因雾化吸入麻醉。在清醒状态下插入SaCoVLM后，当看到声带时，开始在自主通气下进行控制性麻醉诱导。整个麻醉诱导和插管过程在可视状态下完成，未发生低氧血症等不良事件。没有患者对该操作有不愉快的回忆。我们得出结论，SaCoVLM易于使用，耐受性良好，适用于已知气道困难患者的清醒经口气管插管。
