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首页> 外文期刊>中国医学科学杂志（英文版） >Shikani Optical Stylet-guided Intubation via the Intubating Laryngeal Airway in Patients With Scar Contracture of the Face and Neck
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Shikani Optical Stylet-guided Intubation via the Intubating Laryngeal Airway in Patients With Scar Contracture of the Face and Neck

机译：Shikani光学管心针引导的经脸部和颈部瘢痕挛缩的喉管气管插管

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摘要

Objective To evaluate the feasibility of the Shikani Optical Stylet (SOS)-guided intubation through a new Intubating Laryngeal Airway (ILA) in anticipated difficult airways caused by scar contracture of the face and neck. Methods Thirty-three adult patients with anticipated difficult airways undergoing selective faciocervical scar plastic surgery under general anesthesia were enrolled in this study. After anesthesia induction, a size 2.5, 3.5 or 4.5 ILA was inserted. Following good lung ventilation being verified, the SOS preloaded with an endotracheal tube was inserted via the ILA. Once the clear vocal cords came into view under the SOS, the endotracheal tube was advanced through glottis into the trachea. Results The ILA provided an effective airway in all patients. Intubation was successful at the first attempt on 22/33 (66.7%) occasions and at the second attempt on 6/33 (18.2%). Intubation failed in 5 (15.1%) patients who suffered from severe limitation of head extension due to scar contracture of the neck. These patients’ tracheas were finally intubated using a fibreoptic bronchoscope via the ILA. Conclusions The SOS-guided intubating method via the ILA is a feasible technique in patients with scar contracture of the face and neck. However, in patients with severe limitation of head extension, the use of SOS cannot be recommended. The SOS can be used as an alternative apparatus when the fibreoptic bronchoscope is not available.
机译：目的评估通过Shikani Optical Stylet（SOS）引导的新型气管插管喉道（ILA）进行插管在预期的由面部和颈部瘢痕挛缩引起的困难气道中的可行性。 方法本研究纳入了33例预期气道困难的成人患者，这些患者在全身麻醉下接受了选择性颈宫颈疤痕整形手术。麻醉诱导后，插入大小为2.5、3.5或4.5的ILA。在确认良好的肺通气后，通过ILA插入预先装有气管导管的SOS。一旦在SOS下看到清晰的声带，气管内导管就通过声门进入气管。 结果ILA为所有患者提供了有效的呼吸道。第一次插管成功的次数为22/33（66.7％），第二次插管成功的次数为6/33（18.2％）。在5名（15.1％）因颈部疤痕挛缩而严重限制头部伸展的患者中，插管失败。这些患者的气管终于通过ILA用纤维支气管镜插管了。 结论结论通过ILA进行SOS引导的插管方法在面部和颈部瘢痕挛缩患者中是一种可行的技术。但是，在严重的头部伸展受限患者中，不建议使用SOS。当光纤支气管镜不可用时，可以将SOS用作替代设备。

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  • 来源
    《中国医学科学杂志（英文版）》 |2013年第4期|195-200|共6页
  • 作者

    Dong Yang; Shi-yi Tong; Jin-hua Jin; Geng-zhi Tang; Jing-hu Sui; Ling-xin Wei; Xiao-ming Deng;

  • 作者单位

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

    Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences&Peking Union Medical College, Beijing 100144, China;

  • 收录信息 中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
  • 原文格式 PDF
  • 正文语种 eng
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