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[The summarization of clinical experience of difficult tracheal intubation].
Zhongguo Yi Xue Ke Xue Yuan Xue Bao
April 2000
Department of Anesthesia, Plastic Surgery Hospital, CAMS, PUMC, Beijing 100041, China.
Objective: To summarize our experiences and lessons of difficult tracheal intubation for clinical anesthesia reference.
Methods: We had done a retrospective analysis of clinical data on difficult tracheal intubation in 2,825 patients undergoing elective plastic surgery with anesthesia. The main causes of difficult tracheal intubation were the limitations of neck extension (n = 1,169), mouth opening (n = 889), both neck extension and mouth opening (n = 698), and micromaxillary deformity (n = 69).
1500 bronchoscopies performed in the Department of Pneumology, University of Basle, were analyzed for frequency and severity of complications. 500 patients were investigated by rigid tube in local anesthesia, 500 patients by rigid tube in neuroleptanalgesia and 500 patients by flexible fiberbronchoscope. The rate of complication for all patients was 4.
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