两名气道困难的癌症患者的急诊经皮气管切开术：环甲膜切开术的替代方法？

Emergency percutaneous tracheostomy in two cancer patients with difficult airway: An alternative to cricothyroidotomy?

作者信息

Nasa Prashant, Singh Akhilesh, Juneja Deven, Garg Nitin, Singh Omender, Javeri Yash

机构信息

Department of Critical Care Medicine, Max Superspeciality Hospital, 1, Press Enclave Road, Saket, New Delhi, India.

出版信息

South Asian J Cancer. 2012 Oct;1(2):90-2. doi: 10.4103/2278-330X.103722.

DOI:10.4103/2278-330X.103722

PMID:24455521

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3876616/

Abstract

Inability to intubate and/or ventilate either due to distorted neck anatomy or restricted mouth opening is uncommon but potentially hazardous clinical scenario in head and neck cancer patients. Emergency cricothyroidotomy in such patients may provide a means of oxygenating the patient, but in practice has limitations and does not establish a definitive airway. We report 2 cases who had distorted face and neck anatomy in which percutaneous tracheostomy was done as an emergency life-saving procedure when other measures to obtain a definitive airway failed.

摘要

由于颈部解剖结构变形或张口受限导致无法插管和/或通气，在头颈癌患者中并不常见，但却是潜在危险的临床情况。在此类患者中进行紧急环甲膜切开术可为患者提供一种氧合方式，但实际上存在局限性，且无法建立确定性气道。我们报告2例面部和颈部解剖结构变形的病例，当其他获取确定性气道的措施失败时，作为紧急救命手术进行了经皮气管切开术。