Pulmonary Department, "G Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Ther Clin Risk Manag. 2012;8:279-86. doi: 10.2147/TCRM.S31684. Epub 2012 Jun 27.
Management of a "difficult airway" remains one of the most relevant and challenging tasks for anesthesiologists and pulmonary physicians. Several conditions, such as inflammation, trauma, tumor, and immunologic and metabolic diseases, are considered responsible for the difficult intubation of a critically ill patient. In this case report we present the case of a 46-year-old male with postintubation tracheal stenosis. We will focus on the method of intubation used, since the patient had a "difficult airway" and had to be intubated immediately because he was in a life-threatening situation. Although technology is of utter importance, clinical examination and history-taking remain invaluable for the appropriate evaluation of the critically ill patient in everyday medical life. Every physician who will be required to perform intubation has to be familiar with the evaluation of the difficult airway and, in the event of the unanticipated difficult airway, to be able to use a wide variety of tools and techniques to avoid complications and fatality.
处理“困难气道”仍然是麻醉师和肺科医生最相关和最具挑战性的任务之一。几种情况，如炎症、创伤、肿瘤以及免疫和代谢疾病，被认为是导致危重病患者插管困难的原因。在本病例报告中，我们介绍了一位 46 岁男性患者的气管插管后狭窄病例。我们将重点介绍使用的插管方法，因为该患者存在“困难气道”，且由于处于危及生命的情况，必须立即插管。尽管技术至关重要，但在日常医疗实践中，临床检查和病史采集对于对危重病患者进行适当评估仍然具有不可估量的价值。每个需要进行插管的医生都必须熟悉困难气道的评估，如果遇到意外的困难气道，必须能够使用各种工具和技术来避免并发症和死亡。
