Usefullness of Bronchofiberscopy for Difficult Intubation in Patients with Severe Motor and Intellectual Disabilities
-
- Mizuno Yuji
- Department of Pediatrics, Fukuoka Higashi Medical Center
-
- Ukaji Koutarou
- Department of Pediatrics, Fukuoka Higashi Medical Center
Bibliographic Information
- Other Title
-
- 重症心身障害児(者)の挿管困難症に対する気管支ファイバースコープ下挿管の有用性
Search this article
Abstract
In 21 patients with severe motor and intellectual disabilities, bronchofiberoptic intubation was performed because of difficulty in tracheal intubation by direct laryngoscopy. The patients ranged from 3 to 35 years old (mean age: 20.2 years). Twenty patients (95.2%) were bedridden. Among the 21 patients, 15 had cerebral palsy and 20 had hypertonia. The reason for intubation were acute respiratory failure due to pneumonia in 17 cases, suffocation after aspiration of food in 2 cases, hypovolemic shock in 1 case, and laryngotracheomalacia in 1 case. Intubation was done pernasally in 15 patients and perorally in 10. It was successful in 20 cases without any significant complications. The Cormack score ranged from 3rd degree in 4 cases to 4th in 17 cases.<BR>The 20 cases of successful fiberoptic intubation were divided into 7 patients with and 13 without tracheostomy. The mortality rate was 14.3% in patients with tracheostomy and 30.8% in those without tracheostomy. When more than 4 intubation trials were needed, there was a significantly higher mortality rate. In neurologically handicapped patients with deformity or hypertonia of the oral, cervical, or airway structures, a bronchofiberoptic procedure may be recommended when there is difficulty with intubation.
Journal
-
- NO TO HATATSU
-
NO TO HATATSU 37 (6), 499-504, 2005
THE JAPANESE SOCIETY OF CHILD NEUROLOGY
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390282679529539712
-
- NII Article ID
- 10018081770
- 130004183759
-
- NII Book ID
- AN0020232X
-
- ISSN
- 18847668
- 00290831
-
- PubMed
- 16296354
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- PubMed
- CiNii Articles
-
- Abstract License Flag
- Disallowed