Scherlitz A, Peters J
Institut für Klinische Anästhesiologie, Heinrich-Heine Universität Düsseldorf.
Anaesthesist. 1994 Sep;43(9):618-20. doi: 10.1007/s001010050101.
Securing the airway following surgery can be a problem in certain patients. Preparation, therefore, should include a plan for safe reintubation, if necessary. We report two patients with a difficult airway (recurrent thyroid carcinoma, inoperable carcinoma of the hypopharynx) who were at a high risk for intubation under general anaesthesia. In addition, one of the patients suffered from an acute abdomen and ileus. We used a guidewire placed into the trachea via a fiberscope to facilitate fiberoptic reintubation.
术后确保气道安全在某些患者中可能是个问题。因此，准备工作应包括必要时进行安全再插管的计划。我们报告了两名气道困难的患者（复发性甲状腺癌、下咽无法手术的癌），他们在全身麻醉下插管风险很高。此外，其中一名患者患有急腹症和肠梗阻。我们通过纤维喉镜将导丝置入气管，以利于纤维喉镜引导下的再插管。
