어려운 기관내 삽관 환자에서 Shikani Optical StyletTM을 이용한 성공적인 기관내 삽관 -증례 보고- = The successful intubation using Shikani Optical StyletTM on difficult intubation patients−A report of 2 cases−

다국어 초록 (Multilingual Abstract)

The Shikani Optical StyletTM (SOS, Clarus Medical, USA) is another tool to facilitate tracheal intubation. It combines the benefits of a lightwand and a fiberoptic bronchoscope. We report the application of SOS in facilitating the tracheal intubation of two-person with history of difficult airway management. A 25-year-old woman with micrognathia was scheduled to undergo an exploratory laparotomy. Intubation attemps failed with a direct laryngoscope because of difficulty in her mouth opening. Although airway management was re-attempted by a laryngeal mask airway, it also failed for the same reason. Airway management was successfully performed using the SOS instead of a laryngeal mask airway. The second case was a 38-year-old woman with ankylosing spondylitis, scheduled for spinal fusion. She had difficulty in extending her neck. Intubation was successfully performed via the SOS. We believe that intubation by the SOS is a useful and readily available alternative technique for patients with difficult airways.

참고문헌 (Reference)

1 이재민, "전신마취시 후두경 보조하 굴곡기관지경을 이용한 기관내삽관" 대한마취과학회 52 (52): 454-456, 2007

2 Jansen AH, "The Shikani Optical Stylet: a useful adjunct to airway management in a neonate with popliteal pterygium syndrome" 18 : 188-190, 2008

3 Kil HK, "Predicting factors for difficult endotracheal intubation: a prospective study" 31 : 448-456, 1996

4 Stackhouse RA, "Performing fiberoptic endotracheal intubation: clinical aspects" 32 : 57-73, 1994

5 Shikani AH, "New "seeing" stylet-scope and method for the management of the difficult airway" 120 : 113-116, 1999

6 Shukry M, "Management of the difficult pediatric airway with Shikani Optical Stylet" 15 : 342-345, 2005

7 Hung OR, "Launcelott G, Stevens S, et al. Clinical trial of a new lightwand device (Trachlight) to intubate the trachea" 83 : 509-514, 1995

8 Stricker P, "Intubation of an infant with Pierre Robin sequence under dexmedetomidine sedation using the Shikani Optical Stylet" 52 : 866-867, 2008

9 Young CF, "Does the use of a laryngoscope facilitate orotracheal intubation with a Shikani Optical Stylet?" 99 : 302-303, 2007

10 Yao YT, "Comparison of endotracheal intubation with the Shikani Optical Stylet using the left molar approach and direct laryngoscopy" 121 : 1324-1327, 2008

11 Turkstra TP, "Cervical spine motion: a fluoroscopic comparison of Shikani Optical Stylet vs Macintosh laryngoscope" (54) : 441-447, 2007

12 Frova G, "Algorithms for difficult airway management: a review" 75 : 201-209, 2009