Park Changjoo, Kim Hyunjeong, Yum Kwangwon
Department of Dental Anesthesiology and Dental Research Institute, Seoul National University, College of Dentistry, Seoul, Korea.
Anesth Prog. 2004;51(2):62-4.
This report describes a case of sudden ventilatory failure, originally diagnosed as bronchospasm, in a child during general anesthesia. A blood clot impaction in the nasotracheal tube was detected using flexible fiberoptic bronchoscopy. The clot was successfully treated as a result of its passage. We hope this report will stress to dental anesthesiologists the intraoperative importance of fiberoptic bronchoscopy not only as an intubation-aiding device but also as a diagnostic and therapeutic tool.
本报告描述了一例在全身麻醉期间儿童突然发生通气衰竭的病例,最初被诊断为支气管痉挛。使用可弯曲纤维支气管镜检查发现鼻气管导管内有血凝块堵塞。血凝块因排出而得到成功治疗。我们希望本报告能向牙科麻醉医生强调纤维支气管镜检查在术中的重要性,它不仅是一种辅助插管的设备,也是一种诊断和治疗工具。