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首页> 外文期刊>Anaesthesia and intensive care >Use of light source and introducer of proseal laryngeal mask airway for direct laryngoscopy and intubation in a child with restricted mouth-opening.
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Use of light source and introducer of proseal laryngeal mask airway for direct laryngoscopy and intubation in a child with restricted mouth-opening.

机译：使用光源和前列腺喉罩气道导引器在张口受限的儿童中进行直接喉镜检查和插管。

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摘要

I report a case of the use of the introducer for a Proseal Laryngeal Mask Airway (PLMA) to enable visualisation of the larynx and endotracheal intubation in a child with restricted mouth-opening. The flat curved shape of the introducer allowed access that could not be achieved with conventional laryngoscopes. A separate light source is required for this technique. An 18-month-old male child presented to our emergency unit unconscious, with stridor, after a fall from a height. Haemodynamics were stable. Significant stridor persisted despite jaw-thrust. Endotracheal intubation was attempted after intravenous midazolam 1 mg. Restricted mouth-opening prevented insertion of even a size 1 curved laryngoscope blade, a size 2 having been tried initially. Further history obtained from the parents revealed that the child had had reduced mouth-opening since birth. The restricted mouth-opening also prevented passage of a size 1.5 PLMA. Fibreoptic intubation equipment was not available. An otolaryngologist was called, with a view to tracheotomy.
机译：我报告了使用引导器插入前列腺喉罩气道（PLMA）的情况，以使张口受限的儿童喉部和气管插管可视化。导引器的扁平弯曲形状允许使用常规喉镜无法实现的通路。此技术需要一个单独的光源。从高处跌落后，一名18个月大的男童在昏迷的情况下出现在急救室，伴有喘鸣。血流动力学稳定。尽管下颌急促，仍然有明显的喘鸣。静脉注射咪达唑仑1 mg后尝试进行气管插管。受限的张口甚至阻止了尺寸为1的弯曲喉镜刀片的插入，而尺寸为2的喉镜最初已经尝试过。从父母那里获得的进一步病史表明，该孩子自出生以来就张开了嘴。受限的张口也阻止了1.5 PLMA尺寸的通过。没有光纤插管设备。为了进行气管切开术，请了耳鼻喉科医生。

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