[A guidewire as a reintubation aid. Translaryngeal fiberoptic insertion of a guidewire into the trachea to assist fiberoptic reintubation in patients difficult to intubate].
Securing the airway following surgery can be a problem in certain patients. Preparation, therefore, should include a plan for safe reintubation, if necessary. We report two patients with a difficult airway (recurrent thyroid carcinoma, inoperable carcinoma of the hypopharynx) who were at a high risk for intubation under general anaesthesia. In addition, one of the patients suffered from an acute abdomen and ileus. We used a guidewire placed into the trachea via a fiberscope to facilitate fiberoptic reintubation.
Scherlitz
A
A
Institut für Klinische Anästhesiologie, Heinrich-Heine Universität Düsseldorf.
Peters
J
J
D000368:Aged; D000758:Anesthesia; D002277:Carcinoma / Q000601:surgery; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D010610:Pharyngeal Neoplasms / Q000601:surgery; D011292:Premedication; D013964:Thyroid Neoplasms / Q000601:surgery
Führungsdraht als Reintubationshilfe. Translaryngeale fiberoptische Einlage eines Führungsdrahts in die Trachea als Reintubationshilfe bei schwer zu intubierenden Patienten.