扁桃体切除术和腺样体切除术后采用“无接触”拔管技术时喉痉挛的发生率。
The incidence of laryngospasm with a "no touch" extubation technique after tonsillectomy and adenoidectomy.
作者信息
Tsui Ban C H, Wagner Alese, Cave Dominic, Elliott Clark, El-Hakim Hamdy, Malherbe Stephan
机构信息
*Department of Anesthesiology and Pain Medicine and †Department of Surgery, University of Alberta Hospitals, Edmonton, Canada.
出版信息
Anesth Analg. 2004 Feb;98(2):327-329. doi: 10.1213/01.ANE.0000097185.70171.89.
UNLABELLED
In this case series, we evaluated the incidence of laryngospasm using a clearly defined awake tracheal extubation technique in 20 children undergoing elective tonsillectomy with or without adenoidectomy. This technique required patients to be turned to the recovery position at the end of the procedure before discontinuing the volatile anesthetics. No further stimulation, besides continuous oximetry monitoring, was allowed until the patients spontaneously woke up ("no touch" technique). The incidence of laryngospasm, oxygen saturation, and coughing was recorded. No cases of laryngospasm, oxygen desaturation, or severe coughing occurred in our patient population.
IMPLICATIONS
This study re-emphasizes the importance of a sound anesthetic technique in tracheally extubating pediatric patients.
未标注
在本病例系列中，我们使用明确界定的清醒气管拔管技术，对20例接受择期扁桃体切除术（伴或不伴腺样体切除术）的儿童进行了喉痉挛发生率评估。该技术要求在手术结束时，在停用挥发性麻醉剂之前，将患者转为恢复体位。在患者自发醒来之前（“无触碰”技术），除持续血氧饱和度监测外，不允许进行进一步刺激。记录喉痉挛发生率、血氧饱和度及咳嗽情况。我们的患者群体中未发生喉痉挛、血氧饱和度降低或严重咳嗽的病例。
启示
本研究再次强调了在儿科患者气管拔管时采用合理麻醉技术的重要性。
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