[Difficult airway management due to obesity and lingual tonsillar hyperplasia].
[Difficult airway management due to obesity and lingual tonsillar hyperplasia].
复制标题
[肥胖和舌扁桃体增生导致气道管理困难]。
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
Shigehito Sato
中科院分区：
文献类型：
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作者：
R. Obata;Yuji Adachi;H. Igarashi;A. Suzuki;Y. Obata;M. Doi;Shigehito Sato
我们对一位BMI为39.2的女性患者进行了麻醉，该患者患有意外的舌扁桃体增生。在麻醉诱导时，由于舌扁桃体增生，面罩通气和气管插管都很困难。然而，气管插管是在纤维支气管镜下通过插管LMA进行的。在放置TE（气管导管交换器的导管）后，拔出气管导管，无任何气道问题。拔管后，通过TE和纤维支气管镜检查评估呼吸道开放情况。在这种情况下，我们证实阿萨困难气道算法也适用于舌扁桃体增生。
We experienced anesthesia for a female patient of BMI 39.2 with unanticipated lingual tonsillar hyperplasia. At the induction of anesthesia, both mask ventilation and tracheal intubation were difficult due to the lingual tonsillar hyperplasia. However, tracheal intubation was performed by Intubating LMA with the fiberoptic bronchoscopy. After the placing of TE (the catheter for tracheal tube exchanger), the tracheal tube was extubated without any airway trouble. Following the extubation, the opening of the respiratory tract was evaluated by TE and the fiberoptic bronchoscopy. In this case we confirmed that the ASA difficult airway algorithm was also useful in the presence of lingual tonsillar hyperplasia.