Cook-Sather S D, Schreiner M S
Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, PA 19104-4399, USA.
Paediatr Anaesth. 1997;7(3):233-5.
The glossoptosis and micrognathia associated with Pierre Robin anomalad can make tracheal intubation by conventional laryngoscopy quite difficult. Lighted stylets may be helpful in the successful intubation of infants with this anomalad, but those currently available that are small enough to accommodate 3.0 mm ID tracheal tubes have two major drawbacks limiting their utility: an insufficiently rigid stylet component and a nonadjustable, overly bright light. We describe a lighted stylet that can be easily assembled in the operating room which overcomes these problems and allowed us to successfully intubate a six-day-old with severe Pierre Robin anomalad.
与皮埃尔·罗宾序列征相关的舌后坠和小颌畸形会使通过传统喉镜进行气管插管变得相当困难。光棒可能有助于成功为患有这种序列征的婴儿插管,但目前市面上足够小以适配内径3.0毫米气管导管的光棒有两个主要缺点限制了其效用:光棒组件不够坚硬,以及光线不可调节且过亮。我们描述了一种可在手术室轻松组装的光棒,它克服了这些问题,并使我们成功为一名患有严重皮埃尔·罗宾序列征的6日龄婴儿进行了插管。