Mizikov V M, Variushina T V, Kirimov Iu Ia
Anesteziol Reanimatol. 1997 Sep-Oct(5):78-80.
A fiberoptic bronchoscope provides a good access to the distal airways, inaccessible for a rigid bronchoscope. A major disadvantage of the fiberoptic bronchoscope in tracheal intubation of children is its little diameter, impeding the instrumentation and suction. A laryngeal mask (LM) of a suitable size was used with the fiberoptic bronchoscope in 68 children aged 0 to 15 years under TIVA. A large-sized fiberoptic bronchoscope with a channel for instruments can be safely and effectively used in anesthesized children due to LM. A relatively large internal diameter of LM permits ventilation round the fiberoptic bronchoscope. The method is atraumatic and represents a good alternative to the rigid bronchoscope in children.
纤维支气管镜能够很好地进入硬质支气管镜难以到达的远端气道。纤维支气管镜在儿童气管插管中的一个主要缺点是其直径较小,不利于器械操作和吸引。在68例年龄0至15岁接受全凭静脉麻醉(TIVA)的儿童中,将合适尺寸的喉罩(LM)与纤维支气管镜一起使用。由于使用了喉罩,带有器械通道的大尺寸纤维支气管镜可安全有效地用于麻醉儿童。喉罩相对较大的内径允许围绕纤维支气管镜进行通气。该方法无创伤,是儿童硬质支气管镜的良好替代方法。