The McCoy Laryngoscope Expands the Laryngeal Aperture in ... | 合法醫療器材資訊網

由KAoyama著作·2000·被引用19次—(A)Fiber-opticviewofthelarynxduringlaryngoscopyusingtheMcCoylaryngoscopeinapatientwithdifficultintubation,withthebladeintheneutralposition.

—The McCoy levering laryngoscope is a useful device, 1–3[1]but does not uniformly improve the view in some cases of difficult laryngoscopy. 2,3[2]We report a case in which the McCoy laryngoscope did not improve the direct view of the larynx, but instead lifted the epiglottis and expanded structures around the laryngeal aperture (LA), thereby facilitating “blind” tracheal intubation.

A 72-yr-old woman (155 cm, 55 kg) with femoral neck fracture was scheduled to undergo surgical repair. At the preoperative visit, the patient’s airway could not be evaluated because she had senile dementia and could not respond to verbal commands. Anesthesia was induced with fentanyl 50 μg and thiopental 225 mg, and vecuronium 6 mg was administered. The patient’s lungs were easily ventilated through a face mask. At laryngoscopy with a Macintosh 3 blade (Welch Allyn, NY), only the epiglottis could be seen despite the ap...