一位患有斯蒂尔病的产妇剖宫产区域麻醉失败后行清醒纤维支气管镜引导插管术。

Awake fibreoptic intubation following failed regional anaesthesia for caesarean section in a parturient with Still's disease.

作者信息

Popat M T, Chippa J H, Russell R

机构信息

Nuffield Department of Anaesthetics, Oxford Radcliffe Hospital, Oxford OX3 OPF, UK.

出版信息

Eur J Anaesthesiol. 2000 Mar;17(3):211-4. doi: 10.1046/j.1365-2346.2000.00645.x.

DOI:10.1046/j.1365-2346.2000.00645.x

PMID:10758474

Abstract

The anaesthetic management of a 25-year-old parturient with juvenile rheumatoid arthritis (Still's disease) and a difficult airway presenting for elective Caesarean section is described. Inadequate block after epidural anaesthesia necessitated general anaesthesia. This was safely accomplished by securing the airway with awake oral fibreoptic intubation before general anaesthesia was induced. The problems of performing an awake fibreoptic intubation in a pregnant patient are discussed and a simple method for performing the technique is described.

摘要

本文描述了一名25岁患有青少年类风湿性关节炎（斯蒂尔病）且气道困难的产妇，因择期剖宫产的麻醉管理情况。硬膜外麻醉效果不佳后需要全身麻醉。在诱导全身麻醉前，通过清醒状态下经口纤维支气管镜插管确保气道安全，从而安全地完成了全身麻醉。文中讨论了在孕妇中进行清醒纤维支气管镜插管的问题，并描述了一种简单的操作方法。