纤维支气管镜用于困难气管插管的临床分析

CLINICAL ANALYSIS OF FIBEROPTIC INTUBATION IN MANAGEMENT OF THE DIFFICULT AIRWAY

目的 :对纤维支气管镜用于困难气管插管的临床价值及方法进行回顾性分析。方法 :33例困难气管插管病人在纤支镜引导下行气管插管 ,其中 2 4例清醒表麻 ,9例麻醉诱导后。结果 :2 4例清醒表麻病人顺利完成气管插管 ,麻醉病人中 3例顺利插管 ,6例困难插管。结论 :麻醉病人应做好困难气道的预测 ,纤支镜插管成功率高、费时少、损伤小 ,对估计插管困难者应做为首选而不是最后手段 ,充分的表面麻醉是插管成功的前提。

Objective:To analyse the clinical value and method of fiberoptic intubation in management of the difficult airway.Methods:Thirty-three difficult airway patients undergoing intubate leading by bronchofiberoscope, twenty-four patients were intubated on regional anaesthesia, the other nine patients were intubated after rapid sequence induction. Results:The awake patients complete intubation easy, but only three patients complete intubation easy in the anaesthetic patients.Conclusion:Fiberoptic intubation is the technique of choice in management of a difficult intubation. It should be a first choice, not a last resort after attempts with conventional techniques have failed. The complications are mild, the intubation time is little, and the success is very high. Most importantly, intubation must only occur after a satisfaction topical anaesthesia to ensure that the intubation to be a success.