意識下ファイバー挿管への移行も考慮した,緩徐導入とエアウェイスコープ ® による顎骨骨折患者のための麻酔導入法

麻酔と蘇生 Volume 54 Issue 2 Page 1-4 published_at 2018-06-20
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Title ( jpn )
意識下ファイバー挿管への移行も考慮した,緩徐導入とエアウェイスコープ ® による顎骨骨折患者のための麻酔導入法
Title ( eng )
Anesthesia Induction Technique for Trismus Patients with Combination of Slow Induction and AWS Considering Transition to Fiberscope Tracheal Intubation under Consciousness
Creator
Tominaga Shinji
Taniguchi Shogo
Source Title
麻酔と蘇生
Ansesthesia and Resuscitation
Volume 54
Issue 2
Start Page 1
End Page 4
Abstract
Tracheal intubation is difficult in patients with jaw fractures with a limited opening distance. The video laryngoscope is often used in cases where the opening is limited to some extent because the opening distance required for tracheal intubation is smaller than that of the conventional laryngoscope. The authors devised introduction of anesthesia by fentanyl, midazolam, nitrous oxide, oxygen, and sevoflurane. We presented three patients underwent slow induction by the inhalation anesthetic, and as the opening distance increased, tracheal intubation with AWS or direct laryngoscope became possible. We concluded that the technique presented is useful because it can shift to conscious fiberscope tracheal intubation even when it is impossible to tracheal intubation with AWS or laryngoscope
Keywords
AIRWAY SCOPE
TRISMUS
TRACHEAL INTUBATION
SLOW INDUCTION
FRACTURE OF THE JAW
NDC
Medical sciences [ 490 ]
Language
jpn
Resource Type journal article
Publisher
広島麻酔医学会
Date of Issued 2018-06-20
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0385-1664
[NCID] AN00232251