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一位患有克莱佩尔-费尔综合征的成年患者因再次手术就诊:可视喉镜使用的一个警示性病例。

An adult patient with Klippel-Feil syndrome presenting for repeat operation: a cautionary tale of the GlideScope.

机构信息

Department of Anesthesiology, Moffitt Cancer Center, Tampa, FL 33612, USA.

出版信息

J Clin Anesth. 2012 May;24(3):238-41. doi: 10.1016/j.jclinane.2011.10.005. Epub 2012 Apr 9.

Abstract

The introduction of video laryngoscopes has increased the success of intubating the difficult airway. However, failures have been reported in the literature that are associated with certain patient characteristics. Klippel-Feil Syndrome is a condition that typically presents with decreased cervical spine motion, a characteristic that has been associated with GlideScope failure. After an uneventful first anesthetic, a case of a near impossible-to-intubate occurred in a patient with Klippel-Feil Syndrome.

摘要

视频喉镜的引入增加了困难气道插管的成功率。然而,文献中也有报道称,某些患者特征与插管失败有关。克莱佩尔-费尔综合征是一种表现为颈椎运动减少的疾病,这种特征与 GlideScope 失败有关。在第一次麻醉无事故后,一例克莱佩尔-费尔综合征患者发生了几乎无法插管的情况。

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