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气管插管后肺部通气意外困难——病例报告。

Unexpected difficulty in ventilating the lungs after tracheal intubation -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

出版信息

Korean J Anesthesiol. 2011 Jun;60(6):437-9. doi: 10.4097/kjae.2011.60.6.437. Epub 2011 Jun 17.

DOI:10.4097/kjae.2011.60.6.437
PMID:21738848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3121092/
Abstract

We experienced difficulty in ventilating the lungs of a patient after tracheal intubation. After intubation, an insufficient amount of tidal volume (V(T)) was delivered to the patient and the fiberoptic bronchoscopic examination identified partial abutment of the endotracheal tube (ETT) orifice against the tracheal wall. After various attempts to correctly place the ETT, a double-lumen endotracheal tube was placed to achieve a sufficient V(T). It is important to notice that even an appropriately placed ETT may get obstructed due to the left sided bevel at its tip.

摘要

我们在为气管插管后的患者进行通气时遇到了困难。插管后，患者的潮气量（V(T)）不足，纤维支气管镜检查发现气管导管（ETT）口部分贴壁。在多次尝试正确放置 ETT 后，插入了双腔气管导管以实现足够的 V(T)。需要注意的是，即使 ETT 放置位置适当，其尖端的左侧斜面也可能导致其阻塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bba/3121092/e3e27812100d/kjae-60-437-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bba/3121092/adb616b78725/kjae-60-437-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bba/3121092/e3e27812100d/kjae-60-437-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bba/3121092/adb616b78725/kjae-60-437-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bba/3121092/e3e27812100d/kjae-60-437-g002.jpg

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引用本文的文献

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本文引用的文献

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