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气管插管期间的牙科创伤预防——文献综述

Dental trauma prevention during endotracheal intubation--review of literature.

作者信息

Mańka-Malara Katarzyna, Gawlak Dominika, Hovhannisyan Anahit, Klikowska Marta, Kostrzewa-Janicka Jolanta

机构信息

Department of Prosthetic Dentistry, Medical University, Warsaw, Poland.

出版信息

Anaesthesiol Intensive Ther. 2015;47(4):425-9. doi: 10.5603/AIT.2015.0054.

Abstract

Endotracheal intubation is a procedure performed during general anaesthesia with the use of an endotracheal tube in order to maintain a patent airway. This routinely used procedure is connected with a risk of complications within the region of the masticatory system. Trauma of teeth, their surrounding structures and the soft tissue of the oral cavity is observed in app. 1.38 per 1000 procedures. The main causes of this damage are the surgical skills and experience of the surgeon, the anatomical conditions present and the mode of conducting the procedure. In order to reduce the risk of postoperative complications, patients with a high risk of sustaining an injury during endotracheal intubation should be equipped with elastic mouthguards, which reduces the possibility of damage. The scoring in a scale of endotracheal intubation difficulty should be used for qualification for the use of such mouthguards.

摘要

气管插管是在全身麻醉期间进行的一种操作,使用气管导管以维持气道通畅。这种常规使用的操作与咀嚼系统区域内的并发症风险相关。每1000例操作中约有1.38例会观察到牙齿、其周围结构和口腔软组织的创伤。这种损伤的主要原因是外科医生的手术技能和经验、现有的解剖条件以及操作方式。为了降低术后并发症的风险,气管插管期间受伤风险高的患者应配备弹性口腔护具,这可降低损伤的可能性。应使用气管插管困难程度量表进行评分,以确定是否适合使用此类口腔护具。

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