[Awake tracheal intubation--a method of choice in patients at risk of aspiration of gastric contents].
The experience gained with awake tracheal intubation in 39 urgent surgical patients at risk of gastric contents aspiration is presented. After standard premedication fentanyl (4.5 micrograms/kg) was injected, local anesthesia of the root of the tongue, epiglottis and vocal cords was performed with 10% lidocaine spray, rohipnol (0.032 mg/kg) and muscular relaxants were administered and controlled lung ventilation was started. Four patients had vomiting, in 5 patients fentanyl caused muscular restraint. No failures have been observed. Indications for awake tracheal intubation and drawbacks of fentanyl injections are discussed. Awake tracheal intubation prevented effectively aspiration due to retention of coughing and guttural reflexes.
Koliada
V S
VS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000517:prevention & control*; D012306:Risk
Intubatsiia trakhei v soznanii--metod vybora u bol'nykh s riskom aspiratsii zheludochnogo soderzhimogo.