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成年Goldenhar综合征患者困难气道的成功管理

Successful management of difficult airway in an adult patient of Goldenhar syndrome.

作者信息

Sahni Neeru, Bhatia Nidhi

机构信息

Department of Anesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Saudi J Anaesth. 2014 Nov;8(Suppl 1):S98-S100. doi: 10.4103/1658-354X.144086.

DOI:10.4103/1658-354X.144086
PMID:25538532
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4268539/
Abstract

The present case emphasizes on the increasing difficulty in management of patients with Goldenhar syndrome as they age. Fiberoptic intubation using high dose dexmedetomidine along with local anesthetics is a safe technique for securing the airway in a difficult situation, even if the patient dose not cooperates for awake procedure. A16-year-old Goldenhar patient with multiple facial deformities was scheduled for correction of hollowness of right cheek and was successfully managed with high dose dexmedetomidine infusion along with local anesthetics to facilitate fiberoptic intubation with no untoward side-effects.

摘要

本病例强调了随着年龄增长，Goldenhar综合征患者的管理难度日益增加。使用高剂量右美托咪定联合局部麻醉剂进行纤维支气管镜插管是在困难情况下确保气道安全的一种安全技术，即使患者不配合清醒操作。一名患有多种面部畸形的16岁Goldenhar综合征患者计划进行右脸颊凹陷矫正手术，通过输注高剂量右美托咪定联合局部麻醉剂成功完成手术，以促进纤维支气管镜插管，且未出现不良副作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/4268539/397fc43bb736/SJA-8-98-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/4268539/a516bbc90d99/SJA-8-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/4268539/397fc43bb736/SJA-8-98-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/4268539/a516bbc90d99/SJA-8-98-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b2e/4268539/397fc43bb736/SJA-8-98-g002.jpg

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[Tracheal intubation using Airtraq optical laryngoscope in an adult patient with Goldenhar syndrome].[在一名患有Goldenhar综合征的成年患者中使用Airtraq可视喉镜进行气管插管]
Masui. 2013 Jul;62(7):867-9.
2
Use of awake oral fibreoptic intubation (AFOI) for caesarian section in a woman with Goldenhar Syndrome: a case report.在一名患有Goldenhar综合征的女性中使用清醒经口纤维支气管镜插管（AFOI）进行剖宫产：一例病例报告。
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清醒镇静下靶控输注右美托咪定引导插管：五例报告。
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Ther Clin Risk Manag. 2010 Apr 15;6:111-21. doi: 10.2147/tcrm.s5374.
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Dexmedetomidine as the primary sedative during invasive procedures in infants and toddlers with congenital heart disease.右美托咪定作为先天性心脏病婴幼儿侵入性操作期间的主要镇静剂。
Pediatr Crit Care Med. 2008 Nov;9(6):612-5. doi: 10.1097/PCC.0b013e31818d320d.
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Airway management in cleft lip and palate surgery.唇腭裂手术中的气道管理
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Awake fibreoptic intubation via a laryngeal mask in an infant with Goldenhar's syndrome.在一名患有Goldenhar综合征的婴儿中通过喉罩进行清醒纤维喉镜插管。
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