Jhuang Bo-Jyun, Luk Hsiang-Ning, Qu Jason Zhensheng, Shikani Alan
Department of Anesthesia, Hualien Tzuchi Hospital, Hualien 97002, Taiwan.
Bio-Math Laboratory, Department of Financial Engineering, Providence University, Taichung 43301, Taiwan.
Healthcare (Basel). 2022 Oct 30;10(11):2175. doi: 10.3390/healthcare10112175.
Direct laryngoscopy (DL) and videolaryngoscopy (VL) have been the most commonly used airway management modalities in the last several decades. Meanwhile, various optional airway tools (e.g., supraglottic devices, fiberoptic bronchoscopes) have been used for alternative rescue modalities when anticipated or unexpected difficulties in airway management has occurred. In recent decades, optical stylets and video-assisted intubating stylets have become another option for difficult airway scenarios. In contrast to other approaches, we have adopted the Shikani video-assisted intubating stylet technique (VS) for both routine and difficult airway management scenarios. In this case series report, we present the video-twin technique, combining a videolaryngoscope with a video-assisted intubating stylet in various clinical case scenarios. We propose that such a combination is easy to learn and employ and is particularly beneficial in situations where an expected difficult airway (EDA) is encountered.
在过去几十年里，直接喉镜检查（DL）和视频喉镜检查（VL）一直是最常用的气道管理方式。与此同时，当气道管理中出现预期或意外的困难时，各种可选的气道工具（如声门上装置、纤维支气管镜）已被用作替代的抢救方式。近几十年来，光导探条和视频辅助插管探条已成为困难气道情况的另一种选择。与其他方法不同，我们在常规和困难气道管理情况下都采用了希卡尼视频辅助插管探条技术（VS）。在本病例系列报告中，我们展示了视频双镜技术，即在各种临床病例情况下将视频喉镜与视频辅助插管探条相结合。我们认为这种组合易于学习和应用，在遇到预期困难气道（EDA）的情况下特别有益。
