贲门失弛缓症合并气管软化患者在电子胃镜检查期间突发气管塌陷及随后使用右美托咪定-氯胺酮的麻醉管理
Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia.
作者信息
Atkins Joshua H, Mandel Jeff E, Metz David C
机构信息
Department of Anesthesiology and Critical Care and Department of Otorhinolaryngology, Perelman School of Medicine at the University of Pennsylvania, 680 Dulles Bldg, 3400 Spruce Street, Philadelphia, PA 19104, USA.
出版信息
Case Rep Anesthesiol. 2011;2011:281679. doi: 10.1155/2011/281679. Epub 2011 Nov 9.
We present a patient who experienced airway obstruction during an elective esophagogastroduodenoscopy (EGD) under anesthesia secondary to previously undiagnosed tracheomalacia. Physiology of airway obstruction with forced breathing maneuvers is discussed along with the potential advantages of dexmedetomidine-ketamine sedation for management of patients with achalasia undergoing outpatient endoscopic procedures.
我们报告了一名患者，该患者在择期麻醉下进行食管胃十二指肠镜检查（EGD）期间因先前未被诊断出的气管软化而出现气道阻塞。本文讨论了强制呼吸动作导致气道阻塞的生理机制，以及右美托咪定-氯胺酮镇静对于门诊接受内镜手术的贲门失弛缓症患者管理的潜在优势。
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