Knepil G J, Blackburn C W
Oral and Maxillofacial Surgery, York Hospital, Wigginton Rd, York, YO31 8HE, United Kingdom.
Br J Oral Maxillofac Surg. 2008 Sep;46(6):473-6. doi: 10.1016/j.bjoms.2008.02.005. Epub 2008 Mar 25.
Throat packs are commonly placed in the patient's pharynx before oral surgical procedures under general anaesthesia. The pack is thought to protect the airways from aspiration of surgical debris, but if it is retained after extubation it can obstruct the airway. Adverse incidents after retention of throat packs have been reported anecdotally, but to our knowledge the risk management practices undertaken and common events surrounding retention of throat packs, have not been published before. We investigated the management of throat packs in 2007, by sending a questionnaire to maxillofacial surgeons and anaesthetists in the UK. We discuss the results and apply them to an organisational accident model.
在全身麻醉下进行口腔外科手术前，通常会在患者咽部放置喉罩。人们认为喉罩可保护气道，防止手术碎片误吸，但如果在拔管后仍留在体内，可能会阻塞气道。关于喉罩留置后的不良事件已有轶事报道，但据我们所知，此前尚未发表有关喉罩留置的风险管理措施及常见情况。2007年，我们通过向英国的颌面外科医生和麻醉师发送问卷，对喉罩的管理情况进行了调查。我们讨论了调查结果，并将其应用于一个组织事故模型。
