Shikani可视喉镜左侧磨牙入路气管插管技术

Shikani Optical Stylet^TM Guided Endotracheal Intubation Utilizing the Left Molar Approach

Shikanl可视喉镜（SOS）的发明旨在处理困难气管插管，但到目前为止，SOS在临床中的应用并不广泛。我科引入SOS后，使用左侧磨牙入路插管技术已经成功实施气管插管20，000余例且未见严重并发症。此方法较SOS发明者推荐的头端正中入路插管法更便于操作，成功率更高，已在诸多方面都显现出其相对于正中入路和普通喉镜气管插管的优势，目前在我科的常规手术麻醉气管插管中，此方法已基本取代了普能喉镜，本文就相关内容作一介绍。

The Shikani Optical Stylet （SOS） was developed as an aid for difficult intubation by Dr Shinani, an American otolaryngologist. The SOS combines features of a fibreoptic bronchoscope and lightwand. Though it was FDA-approved in 1996, the SOS is still unknown to many anesthesiologists. The SOS was introduced into our department in 2005. We developed a new intubation method, the left molar approach. And now it has been used as a routine technique on daily basis in our setting. The technique has proved to be more advantageous in many aspects than conventional laryngoscope and the midline intubation approach recommended by its inventor.