Bohringer Christian, Grow Mathew, Liu Hong
Department of Anesthesiology and Pain Medicine, University of California Davis Health System, Sacramento, CA 95817, USA.
Transl Perioper Pain Med. 2023;10(3):546-548. doi: 10.31480/2330-4871/179. Epub 2023 Oct 26.
Management of the difficult airway remains one of the most relevant and challenging clinical situations encountered by anesthesiologists. Intubation with a video-laryngoscope is often difficult in patients with anterior airway even when the larynx is readily visualized. This has led to the combined use of a video-laryngoscope together with a flexible bronchoscope for endotracheal intubation. The disposable flexible bronchoscopes that are currently available on the market however are not rigid enough to reliably guide the endotracheal tube into the larynx. A new steerable intubation guide is now available that is very useful when intubating a patient with an anterior airway with a video-laryngoscope.
困难气道的管理仍然是麻醉医生面临的最相关且具有挑战性的临床情况之一。即使喉镜能够清晰看到喉部,对于气道前方病变的患者,使用视频喉镜进行插管通常也很困难。这就导致了将视频喉镜与可弯曲支气管镜联合用于气管插管。然而,目前市场上可用的一次性可弯曲支气管镜不够坚硬,无法可靠地引导气管导管进入喉部。现在有一种新型的可操纵插管引导器,在使用视频喉镜为气道前方病变的患者插管时非常有用。