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題 名 | Prevention of Dental Damage and Improvement of Difficult Intubation Using a Paraglossal Technique with a Straight Miller Blade=利用直葉片的喉鏡進行經舌側插管以預防插管時的牙齒傷害及改善困難插管 |
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作 者 | 黃裕峰; 丁乾坤; 張文貴; 陳國瀚; 陳品堂; | 書刊名 | Journal of the Chinese Medical Association |
卷 期 | 73:10 2010.10[民99.10] |
頁 次 | 頁553-556+CA99 |
分類號 | 416.5 |
關鍵詞 | 牙齒傷害; 困難插管; 喉頭鏡; 直式葉片; 經舌側方式; Dental trauma; Difficult intubation; Laryngoscope; Miller blade; Paraglossal technique; |
語 文 | 英文(English) |
英文摘要 | Patients with diseased teeth, or those who are difficult to intubate, have a higher risk of dental injury during laryngoscopy. We report 3 cases of smooth endotracheal intubation using a paraglossal technique with a straight Miller blade in patients with poor dentition. Three patients with poor dentition were scheduled to undergo surgery under general anesthesia. All patients presented with extremely loose upper central incisors and had lost the other right upper teeth, while micrognathia and prominent, loose upper incisors were noted in 1 case. We elected to use a straight Miller blade using a paraglossal approach. A nasopharyngeal airway was inserted after induction of general anesthesia to facilitate mask ventilation and prevent air leakage from the mask. The Miller blade was then inserted from the right corner of the mouth, avoiding contact with the vulnerable incisors, and advanced along the groove between the tongue and tonsil. The endotracheal tube was subsequently smoothly inserted after obtaining a grade 1 Cormack and Lehane view without dental trauma in all 3 cases. Direct laryngoscopy using the paraglossal straight blade technique avoids dental damage in patients with mobile upper incisors and no right maxillary molars. It is a practical alternative method that differs from the traditional Macintosh laryngoscope in patients with a high risk of dental injury during the procedure. This technique, which provides an improved view of the larynx, might also be helpful with patients in whom intubation is difficult. |
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