Glossopharyngeal nerve blocks for awake laryngeal mask airway insertion in an infant with Pierre–Robin syndrome: can a Glidescope come to the rescue?
Glossopharyngeal nerve blocks for awake laryngeal mask airway insertion in an infant with Pierre–Robin syndrome: can a Glidescope come to the rescue?
复制标题
舌咽神经阻滞用于皮埃尔-罗宾综合征婴儿清醒喉罩气道插入：Glidescope 可以救援吗？
DOI：
10.1111/j.1460-9592.2008.02825.x
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
S. Suresh
中科院分区：
文献类型：
--
作者：
N. Jagannathan;L. Sohn;S. Suresh
通过对烧伤后瘢痕、小颌畸形、舌瓣、扁桃体肥大等的治疗，该技术具有以下优点。首先，它可用于清醒或全身麻醉的呼吸困难的儿科患者。然而，对于麻醉的儿童，我们更倾向于使用带有封闭端多孔硬膜外导管的组件，以便实现充分的气道局部化，因为局部麻醉剂的多方向喷雾。第二，刚性光纤探针可以通过提升会厌并移位口腔和咽部软组织在口咽部中为器械创造足够的空间。因此，其尖端可以容易地与声门对准。第三，将组装头端定位在喉口上方，并在光纤视图下使用硬膜外导管完成气道局部定位。因此，它可以减少对气道的刺激，并提供精确的局部麻醉剂给药。此外，通过类似于使用纤维支气管镜的“随走随喷”技术，可以使用具有端孔硬膜外导管的组件依次进行咽、喉和气管的表面麻醉。Fu Shan Xue* Nong He <$Mao Ping Luo* Xu Liao* * 中国医学科学院北京协和医学院整形外科医院麻醉科<$中国北京大学首钢医院麻醉科（电子邮件：fruitxue@yahoo.com.cn）
by postburn scar, micrognathia, tongue flap and tonsillar hypertrophy, this technique has the following advantages. First, it can be used in the awake or general anesthetized pediatric patients with difficult airways. For anesthetized children, however, we prefer to use the assembly with a closed-end multi-orifice epidural catheter in order to achieve an adequate airway topicalization because of multidirectional sprays of local anesthetic. Second, rigid fiberoptic stylet can create enough space in the oropharynx for the instrument by lifting the epiglottis and displacing the oral and pharyngeal soft tissues. Therefore, its tip may easily be aligned with the glottis. Third, the assembly tip is positioned above the laryngeal aperture and airway topicalization is completed using the epidural catheter under the fiberoptic view. Thus, it can reduce the stimuli to the airway and provide a precise administration of local anesthetic. By a ‘spray as you go’ technique resemble to that using the fiberoptic bronchoscope, moreover, topical anesthesia of the pharynx, larynx and trachea can be in order performed using the assembly with an end hole epidural catheter. Fu Shan Xue* Nong He† Mao Ping Luo* Xu Liao* *Department of Anesthesiology, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China †Department of Anesthesiology, Peking University Shougang Hospital, Beijing, China (email: fruitxue@yahoo.com.cn)