使用airtraq于清醒气管插管一病例系列-sagejournals.pdf

Hong Kong Journal of Emergency Medicine The use of the Airtraq庐 in awake tracheal intubation: a case series Airtraq庐 FMT Tai , YL Ho , BCP Cheng , KSY Mui , MTV Chan , OF Wong Obj ective: To report the clinical experience in using the Airtraq庐 in awake tracheal intubation in patients with known or potential difficult airway, or unstable cervical spine. Methods: Case series study. Twenty patients with known or potential difficult airway, or unstable cervical spine who underwent elective operations and might require awake fibreoptic intubation were recruited. After standardised topical anaesthesia of the airway, awake 庐 intubation was performed using the Airtraq . The duration of the intubation procedure, the intubation difficulty scale (IDS), the rate of successful placement of endotracheal tube and patients satisfaction were recorded. Results: Fifteen out of the twenty patients were successfully intubated with the Airtraq庐 under awake condition leading to an overall success rate of 75%. Eleven of them were intubated in the first attempt. The mean duration of intubation 庐 was 1 min 33 s. Concerning the degree of difficulty of intubation using the Airtraq , as evaluated with the IDS, 20% was ranked as easy and 80% was slightly difficult. Excessive secretion, patient gagging, inability to cooperate and inadequate view of larynx were the major reasons of failed intubation. Eighty percent of the patients considered the intubating procedure with the Airtraq庐 under awake condition acceptable. In general, patients felt mild pain and discomfort and were satisfied with the intubation process. Conclusion: Airtraq庐 may be a useful alternative of flexible bronchoscope for awake intubation with low rate of minor comp