Coletta G, Lerda R, Calleris V, Conte P, Manassero A
Servizio di Anestesia, Azienda Autonoma Ospedaliera Santa Croce e Carle, Cuneo.
Minerva Anestesiol. 1996 Oct;62(10):339-42.
Cervical spine lesions require early stabilisation. The fibroscope was used in order to avoid irreversible damage to the medulla during intubation. Twenty-five patients aged between 18 and 70 years old were treated. Pre-medication and local anesthesia of the nostril, rhinopharynx and oropharynx was performed. Local anesthesia of the hypopharynx was omitted to avoid the tussigenic reflex which is dangerous in this pathology. The patient was then deeply sedated maintaining respiratory activity. The tracheal tube was then introduced into the nostril and the fibroscope was then positioned using this as a guide. Following the insertion of the fibroscope in the trachea, the latter was then used to slide the tracheal tube down. The authors consider this technique to be useful in this pathology since it is risk free if used as described above.
颈椎损伤需要早期稳定。使用纤维喉镜是为了避免插管过程中对延髓造成不可逆损伤。对25名年龄在18至70岁之间的患者进行了治疗。进行了术前用药以及鼻孔、鼻咽和口咽的局部麻醉。省略了下咽的局部麻醉以避免咳嗽反射，这在这种病理情况下是危险的。然后使患者深度镇静并维持呼吸活动。接着将气管导管插入鼻孔，并以其为引导放置纤维喉镜。在纤维喉镜插入气管后，再用它将气管导管向下推送。作者认为该技术在这种病理情况下是有用的，因为按上述方法使用时无风险。
