Liberman Justin S, Weigel Wade, Neal Joseph M
From the Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington.
A A Case Rep. 2016 May 15;6(10):291-2. doi: 10.1213/XAA.0000000000000294.
The inability to ventilate a patient after successful intubation is a rare but emergent situation and may be caused by obstruction of the endotracheal tube, bilateral tension pneumothorax, esophageal intubation, severe bronchospasm, or mainstem bronchus intubation. We describe an increase in mean airway pressure, inability to ventilate, and loss of cardiac output secondary to a blood clot acting as a ball valve at the end of an endotracheal tube.
成功插管后无法对患者进行通气是一种罕见但紧急的情况，可能由气管内导管阻塞、双侧张力性气胸、食管插管、严重支气管痉挛或主支气管插管引起。我们描述了一种因血凝块在气管内导管末端起到球阀作用而导致平均气道压升高、无法通气以及心输出量丧失的情况。
