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首页> 外文期刊>Southern African Journal of Anaesthesia and Analgesia >Nasal intubation of a difficult airway following supraglottic airway rescue facilitated by video laryngoscopy and a flexible intubation scope
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Nasal intubation of a difficult airway following supraglottic airway rescue facilitated by video laryngoscopy and a flexible intubation scope

机译：经喉镜检查和灵活的插管范围有助于声门上气道抢救后困难气道的鼻插管

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摘要

The management of a patient following airway rescue with a supraglottic airway (SGA) is debatable. This report describes a case?of successful orotracheal intubation via a SGA used for airway rescue after a “Can’t Intubate, Can Ventilate” (non-emergency)?airway scenario. Surgery required nasotracheal intubation so the second part of the case report describes the exchange of an?orotracheal tube to a nasotracheal tube with a proved difficult laryngoscopy. The technique required three anaesthetists, two?flexible intubation scopes, a videolaryngoscope and the Aintree intubation catheter (AIC). The case illustrates the technique of?securing the required type of tracheal tube to facilitate surgery as an alternative to waking up the patient and postponing surgery.
机译：用声门上气道（SGA）进行气道抢救后患者的治疗尚有争议。本报告介绍了一种情况，即在“无法插管，可以通气”（非紧急情况）情况下，通过用于气道抢救的SGA成功进行了气管插管。手术需要鼻气管插管，因此病例报告的第二部分描述了经喉镜检查很难将气管插管更换为鼻气管插管。该技术需要三名麻醉师，两个灵活的插管镜，一个视频喉镜和一个Aintree插管（AIC）。该案例说明了固定所需类型的气管导管以利于手术的技术，作为唤醒患者和推迟手术的替代方法。

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