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Медицинская библиотека · Masui. The Japanese journal of anesthesiology · 2016

[Efficacy of a Bronchofiberscope in Combination with the GlideScopee in a Difficult Airway Patient].

Yukihiro Imajo, Komasawa Nobuyasu, Fujiwara Shunsuke, Tsuji Eiji, Minami Toshiaki

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Аннотация

We present a case of securing a difficult airway in which intubation with a fiberoptic bronchoscope (FOB) assisted by the GlideScope® (GS) was effective. A 69-year-old man was scheduled to undergo laparoscopic hernia repair under general anesthesia. He had a small jaw and Grade 3 upper lip bite test in the preoperative assessment. Mask ventilation was possible following the induction of general anesthesia. Given that the glottis was not observable with the Macintosh laryngoscope (Cormack-Lehane Grade 4), laryngoscopy was per- formed with the GS, which allowed visualization of the tip of the epiglottis. Under GS monitoring, we inserted the FOB under the epiglottis and bent the tip upward to observe the lower edge of the glottis, which allowed for successful tracheal intubation. We conclude that use of the GS in combination with a FOB allows for secur- ing difficult airways that would otherwise be impossi- ble to intubate with the GS or FOB alone.

Для цитирования: Yukihiro Imajo, Komasawa Nobuyasu, Fujiwara Shunsuke, Tsuji Eiji, Minami Toshiaki. [Efficacy of a Bronchofiberscope in Combination with the GlideScopee in a Difficult Airway Patient].. Masui. The Japanese journal of anesthesiology. 2016.

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