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表 1 5例声门暴露困难患者的一般情况和气道评估
病例 年龄
(岁)性别 BMI
(kg/m2)ASA
分级张口度
(cm)甲颏距离
(cm)胸颏距离
(cm)舌颏距离
(cm)Mallampati
分级下颌前伸
试验双腔管型号 1 76 男 18. 0 Ⅲ 5 7.0 14.0 4.5 Ⅱ A 37左 2 56 女 27. 0 Ⅱ 4 7. 5 12. 5 4. 0 Ⅱ A 35左 3 59 男 26. 4 Ⅱ 4 7. 5 13. 5 4. 0 Ⅲ C 37右 4 63 男 25. 8 Ⅱ 5 8. 0 15. 0 3. 5 Ⅱ A 39右 5 74 男 24. 3 Ⅲ 4 5. 0 14. 0 2. 5 Ⅲ A 39左 BMI:体重指数; ASA:美国麻醉医师协会 
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表 2 5例声门暴露困难患者插管情况
病例 声门暴露分级 插管时间
(s)置管难易 直接喉镜下 Airtraq DL喉镜下 1 Ⅲa Ⅰ 50 容易 2 Ⅲb Ⅰ 90 较容易 3 Ⅳ Ⅱa 225 较难 4 Ⅲa Ⅰ 68 较容易 5 Ⅲa Ⅰ 42 较容易
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[1] Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway:a closed claims analysis[J]. Anesthesiology, 2005, 103:33-39. doi: 10.1097/00000542-200507000-00009 [2] Yentis SM, Lee DJ. Evaluation of an improved scoring system for the grading of direct laryngoscopy[J]. Anaesthesia, 1998, 53:1041-1044. doi: 10.1046/j.1365-2044.1998.00605.x [3] Calder I, Calder J, Crockard HA. Difficult direct laryngoscopy in patients with cervical spine disease[J]. Anaesthesia, 1995, 50:756-763. doi: 10.1111/j.1365-2044.1995.tb06135.x [4] Yu HD, Ho AC, Wu YC, et al. Usefulness of the WuScope to facilitate double-lumen endotracheal tube placement in a patient with ankylosing spondylitis[J]. Chang Gung Med J, 2011, 34:218-223. http://www.ncbi.nlm.nih.gov/pubmed/21539765 [5] Maharaj CH, Higgins BD, Harte BH, et al. Evaluation of ease of intubation with the Airtraq® or Macintosh laryngoscope by anaesthetists in easy and simulated difficult laryngoscopy-a manikin study[J]. Anaesthesia, 2006, 61:469-477. doi: 10.1111/j.1365-2044.2006.04547.x [6] Maharaj CH, Croinin DO, Curley G, et al. A comparison of tracheal intubation using the Airtraq® or the Macintosh laryngoscope in routine airway management:a randomised, controlled clinical trial[J]. Anaesthesia, 2006, 61:1093-1099. doi: 10.1111/j.1365-2044.2006.04819.x [7] McElwain J, Laffery JG. Comparison of the C-Mac®, Airtraq® and Macintosh laryngoscopes in patients undergoing tracheal intubation with cervical spine immobilization[J]. Br J Anaesth, 2011, 107:258-264. doi: 10.1093/bja/aer099 [8] Maharaj CH, Costello JF, McDonnell JG, et al. The Airtraq® as a rescue airway device following failed direct laryngoscopy:a case series[J]. Anaesthesia, 2007, 62:598-601. doi: 10.1111/j.1365-2044.2007.05036.x [9] Dhonneur G, Abdi W, Amathieu R, et al. Optimising tracheal intubation success rate using the Airtraq laryngoscope[J]. Anaesthesia, 2009, 64:315-319. doi: 10.1111/j.1365-2044.2008.05757.x [10] Gómez-Ríos MA, Nieto Serradilla L. Combined use of an Airtraq® optical laryngoscope, Airtraq video camera, Airtraq wireless monitor, and a fibreoptic bronchoscope after failed tracheal intubation[J]. Can J Anaesth, 2011, 58:411-412. doi: 10.1007/s12630-011-9460-3 [11] Ndoko SK, Amathieu R, Tual L, et al. Tracheal intubation of morbidly obese patients:a randomized trial comparing performance of Macintosh and AirtraqTM laryngoscopes[J]. Br J Anaesth, 2008, 100:263-268. doi: 10.1093/bja/aem346 [12] Suzuki A, Abe N, Sasakawa T, et al. Pentax-AWS (airway scope) and Airtraq:big difference between two similar devices[J]. J Anesth, 2008, 22:191-192. doi: 10.1007/s00540-007-0603-1 -
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