DeBoer Scott, McNeil Michelle, Amundson Troy
University of Chicago Hospitals, USA.
AANA J. 2008 Feb;76(1):19-23.
Body modification has been practiced in cultures around the world for thousands of years. The ramifications of body piercing on anesthesia practice and airway management have become more evident in recent years. This article reviews the techniques for removal of tongue jewelry and options for maintaining oral piercing patency. To remove or not to remove...that is the question. In the emergency medicine and anesthesia literature, there are arguments both for and against the routine removal of oral jewelry for intubation. Some practitioners feel that if people can eat, drink, talk, and sleep with the jewelry in place, they probably can be intubated safely without removing it. Most case reports present the opinion that tongue jewelry should be removed before oral intubation to minimize jewelry aspiration, bleeding, and medical-legal risks to the anesthetist. This article's focus is to illustrate suggested tongue jewelry removal techniques for awake and unconscious patients from the health practitioner's and body piercer's perspectives.
身体改造在世界各地的文化中已经存在了数千年。近年来，身体穿刺对麻醉实践和气道管理的影响变得更加明显。本文回顾了去除舌部饰品的技术以及维持口腔穿刺通畅的选择。去还是不去……这是个问题。在急诊医学和麻醉学文献中，对于插管时常规去除口腔饰品存在支持和反对两种观点。一些从业者认为，如果人们戴着饰品能够进食、饮水、交谈和睡眠，那么他们可能在不摘除饰品的情况下安全插管。大多数病例报告认为，在进行口腔插管前应去除舌部饰品，以尽量减少饰品误吸、出血以及给麻醉师带来的医疗法律风险。本文的重点是从健康从业者和身体穿刺师的角度，阐述针对清醒和昏迷患者建议的舌部饰品去除技术。
