关键词: airway management awake intubation difficult airway video laryngoscope

来  源:   DOI:10.2147/TCRM.S64638   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Intubation of patients with a supraglottic mass causing obstruction of the glottis remains a difficult problem for the experienced anesthesiologist. Awake fiberscopic endotracheal intubation is the recommended approach in such cases; however, use of a video laryngoscope for awake intubation can be an alternative to a fiberscope. Here we present two cases of awake intubation using a King Vision™ video laryngoscope in patients with a supraglottic mass, and a literature review on use of video laryngoscopes for awake intubation. After topical anesthesia and sedation with opioids, the patients were successfully intubated.
摘要:
对于经验丰富的麻醉师来说,对声门上肿块引起声门阻塞的患者进行插管仍然是一个难题。在这种情况下,建议采用清醒纤维支气管镜气管插管;然而,使用视频喉镜进行清醒插管可以替代纤维镜。在这里,我们介绍了使用KingVision™视频喉镜对声门上肿块患者进行清醒插管的两例病例,以及关于使用视频喉镜进行清醒插管的文献综述。局部麻醉和阿片类药物镇静后,患者成功插管。
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