Awake fiberoptic intubation with an epidural catheter in a morbidly obese patient

被引：9
|
作者：
Suzuki, Yutaro [1 ]
Takenami, Tamie [1 ,2 ]
Fujino, Saki [1 ]
Nakazawa, Ayano [1 ]
Okamoto, Hirotsugu [1 ]
机构：
[1] Kitasato Univ, Sch Med, 1-15-1 Kitasato, Sagamihara, Kanagawa 2520375, Japan
[2] Kitasato Univ, Dept Anesthesiol, Sch Med, 1-15-1 Kitasato, Sagamihara, Kanagawa 2250374, Japan
来源：
JOURNAL OF ANESTHESIA | 2020年 / 34卷 / 03期
关键词：
Awake intubation; Difficult mask ventilation; Obese patient;
D O I：
10.1007/s00540-020-02760-4
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We report successful awake intubation in a morbidly obese patient (body mass index of 61.2) using an epidural catheter inserted through the external forceps channel of the fiberscope for delivery of local anesthetic. Direct application of local anesthetic to the pharyngolaryngeal area and proximal tracheal, through the use of a relatively firm epidural catheter. We conclude that awake intubation can be achieved by this method which spares the subsequent use of any sedative drugs.
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页码：468 / 471
页数：4
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