학술논문
Pentax—AWS® Airway Scope System Offers Easy Intubation with Improved Laryngeal View during Manual In—Line Neck Stabilization / 用手的頸部正中位固定下でのエアウェイスコープ挿管の検討
Document Type
Journal Article
Author
Source
日本臨床麻酔学会誌 / THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA. 2009, 29(1):56
Subject
Language
Japanese
ISSN
0285-4945
1349-9149
1349-9149
Abstract
Intubation with the Pentax-AWS Airway scope (AWS) during application of manual in-line neck stabilization (MILNS) was evaluated in 60 ASA I-III patients scheduled for elective surgery. Application of MILNS worsened the laryngeal view with the conventional Macintosh laryngoscope, whereas the AWS improved the view. The entire laryngeal view with the AWS was converted into Cormack grade 1, and intubation was successful on the first attempt. Average time to place the tube was 27 sec, and most of the time (19 sec) was spent inserting the blade. Intubation difficulty scale was 0 in all cases, which indicates that intubation was very easy. Although the MILNS maneuver restricts mouth opening and neck extension, the AWS can provide easy intubation condition. We conclude that the AWS can be a useful device for patient with suspected cervical injury such as blunt facial trauma.