Nargozian C
Harvard Medical School, Boston, Massachusetts.
Clin Plast Surg. 1991 Apr;18(2):227-30.
Apert patients frequently provide a challenge in airway management. For simple procedures, a safe anesthetic plan can be formulated if the anatomic factors affecting the airway are carefully considered. More extensive and prolonged craniofacial reconstructive surgeries require more monitoring and include all the problems associated with difficult intubation, hazardous airway management, massive blood loss and fluid shift, and long anesthetic times. After assessment of all these specific needs, the anesthesiologist will be presented with a difficult but not insurmountable risk.
Apert综合征患者在气道管理方面常常具有挑战性。对于简单的手术，如果能仔细考虑影响气道的解剖因素，就可以制定出安全的麻醉方案。更广泛和更长时间的颅面重建手术需要更多的监测，并且包括与困难插管、危险气道管理、大量失血和液体转移以及长时间麻醉相关的所有问题。在评估所有这些特殊需求之后，麻醉医生将面临一个困难但并非无法克服的风险。
