Casals-Caus P, Mayoral-Rojals V, Canales M A, Ruiz-Tamarit V, Casals-Castells A, Cochs-Cristià J
Departamento de Anestesiología, Reanimación y Terapia del Dolor, Ciutat Sanitària i Universitària de Bellvitge.
Rev Esp Anestesiol Reanim. 1997 Oct;44(8):302-4.
Inflation of the tracheal tube cuff to facilitate blind nasal intubation as described by Gobarck in 1987 has been shown to be effective for increasing the rate of successful intubation from 45 to 95% in patients with no airway alterations. We aimed to assess the usefulness of this technique in patients with anatomical alterations of the airway, in whom difficult intubation was predicted.
We enrolled 25 patients with airway alterations that made laryngoscopy likely to be difficult and who were scheduled for neoplastic maxillofacial surgery.
Twelve patients (48%) were intubated on the first try, 5 (20%) on the second try and 6 (24%) on the third try. We were unable to intubate 2 patients (8%) after three tries, and therefore opted to intubate with a fiberoptic endoscope.
Inflation of the tracheal tube cuff is useful for facilitating nasotracheal intubation in the awake patient.
1987年戈巴克所描述的通过给气管导管套囊充气来辅助盲目鼻腔插管，已被证明可有效提高气道无改变患者的插管成功率，从45%提高到95%。我们旨在评估该技术在预计插管困难的气道解剖结构改变患者中的实用性。
我们纳入了25例气道改变致使喉镜检查可能困难且计划接受肿瘤性颌面外科手术的患者。
12例患者（48%）一次插管成功，5例（20%）二次插管成功，6例（24%）三次插管成功。三次尝试后仍有2例患者（8%）未能成功插管，因此选择使用纤维光学内窥镜进行插管。
给气管导管套囊充气有助于清醒患者进行鼻气管插管。
