体外心肺支持下重度声门下狭窄婴儿的麻醉管理

Management of Anesthesia under Extracorporeal Cardiopulmonary Support in an Infant with Severe Subglottic Stenosis.

作者信息

Soeda Rie, Taniguchi Fumika, Sawada Maiko, Hamaoka Saeko, Shibasaki Masayuki, Nakajima Yasufumi, Hashimoto Satoru, Sawa Teiji, Nakayama Yoshinobu

机构信息

Department of Anesthesiology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo, Kyoto 602-8566, Japan.

Department of Anesthesiology, Kansai Medical University, 2-5-1 Shin-machi, Hirakata, Osaka 573-1010, Japan.

出版信息

Case Rep Anesthesiol. 2016;2016:6871565. doi: 10.1155/2016/6871565. Epub 2016 Feb 18.

DOI:10.1155/2016/6871565

PMID:26989518

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4775790/

Abstract

A 4-month-old female infant who weighed 3.57 kg with severe subglottic stenosis underwent tracheostomy under extracorporeal cardiopulmonary support. First, we set up extracorporeal cardiopulmonary support to the infant and then successfully intubated an endotracheal tube with a 2.5 mm inner diameter before tracheostomy by otolaryngologists. Extracorporeal cardiopulmonary support is an alternative for maintenance of oxygenation in difficult airway management in infants.

摘要

一名体重3.57千克的4个月大女婴患有严重的声门下狭窄，在体外心肺支持下接受了气管造口术。首先，我们为该婴儿建立了体外心肺支持，然后耳鼻喉科医生在气管造口术前成功插入了一根内径为2.5毫米的气管内导管。体外心肺支持是婴儿困难气道管理中维持氧合的一种替代方法。