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[喉罩气道用于行腺样体扁桃体切除术的喉蹼患儿气道管理的病例]

[Case of airway management by laryngeal mask airway for a child with laryngeal web undergoing adenotonsillectomy].

作者信息

Yamamoto Tomohiro, Kohno Tatsuro

机构信息

Division of Anesthesiology, Niigata University Graduate School of Medicine and Dental Sciences, Niigata 951-8510.

出版信息

Masui. 2011 Feb;60(2):214-6.

Abstract

We report a case of airway management by laryngeal mask airway (LMA) for a 4-year-old boy with laryngeal web undergoing adenotonsillectomy. Although the patient had no symptoms of airway stenosis, we detected a subglottic laryngeal web during the preoperative examination. The opening orifice of the laryngeal web was estimated to be too small for intubation, and we chose to manage the airway with LMA and spontaneous respiration. Using the LMA and Davis-Crowe mouth gag, we were able to provide the surgeon with the same exposure as with intubation while effectively managing the airway.

摘要

我们报告了一例使用喉罩气道(LMA)对一名4岁患有喉蹼的男孩进行腺样体扁桃体切除术时的气道管理情况。尽管该患者没有气道狭窄的症状,但我们在术前检查中发现了声门下喉蹼。估计喉蹼的开口孔径过小无法插管,因此我们选择使用LMA并采用自主呼吸来管理气道。使用LMA和戴维斯 - 克劳氏口腔开口器,我们能够在有效管理气道的同时,为外科医生提供与插管相同的手术视野。

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