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From the University of Toronto, Department of Anesthesia and Pain Management, Toronto General Hospital, Toronto, Ontario, Canada.
Address correspondence to: Dr. Richard M. Cooper, University of Toronto, Department of Anesthesia and Pain Management, Toronto General Hospital, 200 Elizabeth Street, 3EN-421, Toronto, Ontario M5G 2C4, Canada. Phone: 416-340-5164; Fax: 416-340-3698; E-mail: richard.cooper{at}uhn.on.ca
Objectif : Décrire l’utilisation clinique d’un nouveau vidéolaryngoscope chez un patient pour qui l’intubation avait été difficile ou impossible à quelques reprises en laryngoscopie directe traditionnelle. Ce dispositif a fourni une excellente visualisation glottique et permis une intubation endotrachéale facile.
Éléments cliniques : Un homme de 74 ans, vu à maintes reprises en chirurgie élective, avait subi des intubations souvent impossibles par laryngoscopie directe et une aspiration pulmonaire lors de l’usage d’un masque laryngé. Il refusait l’intubation vigile avec un fibroscope flexible. Après l’induction de l’anesthésie générale, la laryngoscopie a été réalisée avec un GlideScope®. L’appareil a fourni une exposition glottique complète et permis une intubation endotrachéale facile.
Conclusion : Ce nouveau vidéolaryngoscope a fourni une excellente exposition laryngée chez un patient qui avait subi à de multiples reprises des difficultés ou même l’impossibilité d’intubation par laryngoscopie directe. Le rôle clinique de cet appareil devrait être confirmé par une grande série sur les intubations difficiles.
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R. M. Cooper REPLY Can J Anesth, January 1, 2004; 51(1): 95 - 96. [Full Text] [PDF]
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R. M. Cooper REPLY Can J Anesth, November 1, 2003; 50(9): 966 - 966. [Full Text] [PDF]
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