Asai T, Matsumoto S, Shingu K
Department of Anesthesiology, Kansai Medical University, Osaka, Japan.
Anaesthesia. 1998 Sep;53(9):903-5. doi: 10.1046/j.1365-2044.1998.00532.x.
In fibrescope-aided tracheal intubation, it can be difficult to advance a tube over a fibrescope, because its passage may be impeded by the epiglottis, arytenoids or pyriform fossa. In two patients with difficult intubation, after successful insertion of a fibrescope into the trachea, it was impossible to advance the tube over the fibrescope. Fibrescope-aided tracheal intubation was accomplished by shifting the epiglottis anteriorly and 'opening up' the glottis either by fingers or the McCoy laryngoscope.
在纤维喉镜辅助气管插管时，将气管导管套在纤维喉镜上推进可能会很困难，因为会厌、杓状软骨或梨状窝可能会阻碍其通过。在两名插管困难的患者中，纤维喉镜成功插入气管后，无法将气管导管套在纤维喉镜上推进。通过用手指或麦考伊喉镜将会厌向前移位并“打开”声门，完成了纤维喉镜辅助气管插管。
