Abstract：Objective:To discuss the effective methods for high risk tracheotomy, and to minimize the risk of such tracheotomy. Methods:A retrospective analysis was conducted to analyze 42 high-risk tracheotomy cases in recent 3 years; each case used a laryngeal mask under general anesthesia. And we analyzed the safety and adaption of the high risk of tracheotomy under general anesthesia laryngeal mask. 1 case of short cervical obese OSAHS used laryngeal mask intubation under general anesthesia because of failure to intubation anesthesia; In 1 laryngeal and trachea narrow patient tracheotomy failed because of the forced body position, laryngeal mask was used to trachea intubation under general anesthesia and the surgery succeed.Results:We completed 41 cases with high risk tracheotomy in 42 cases with aryngeal mask and general anesthesia. 1 case of no teeth patient failed to intubation anesthesia by laryngeal mask, and visual laryngoscope was used for intubation anesthesia, and tracheotomy was conducted successfully right after the surgery. None of them had serious complications.Conclusions:Using laryngeal mask under general anesthesia for tracheotomy is an effective way to reduce the risk and improve the safety of high risk tracheotomy, and it deserves to popularize.
储康宁，刘业海，赵益，吴静，李亦凡，李元海，陈立建. 喉罩全麻在高危气管切开中的应用[J]. 中华解剖与临床杂志, 2013, 18(4): 312-315.
CHU Kang-ning,LIU Ye-hai ,ZHAO Yi,WU Jing,LI Yi-fan,LI Yuan-hai,CHEN Li-jian. General Anesthesia of Laryngeal Mask in Some High Risk Tracheotomy. Chinese Journal of Anatomy and Clinics, 2013, 18(4): 312-315.
2013, Vol. 18 
