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使用简易纤维光学辅助喉镜处理小儿困难气道:两例Pierre Robin综合征和帕陶氏综合征(13三体综合征)病例报告

Management of the Difficult Paediatric Airway with a Simple Fiberoptic-Assisted Laryngoscope: A Report of Two Cases with Pierre Robin and Patau's (Trisomy 13) Syndrome.

作者信息

Kılıçaslan Alper, Erol Atilla, Topal Ahmet, Et Tayfun, Otelcioğlu Şeref

机构信息

Department of Anaesthesiology and Reanimation, Necmettin Erbakan University Faculty of Medicine, Konya, Turkey.

Clinic of Anaesthesiology and Reanimation, Karaman State Hospital, Karaman, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2014 Dec;42(6):358-61. doi: 10.5152/TJAR.2014.30316. Epub 2014 Jul 11.

Abstract

Airway management of children with congenital craniofacial anomalies is a challenge for paediatric anaesthesiologists. We do not have any video-assisted airway device in our department for difficult paediatric intubations. We decided to attach a regular fiberoptic (outer diameter; 3.7 mm, Karl Storz, Germany) scope to a conventional Macintosh Laryngoscope (size 1). We describe two cases of Pierre Robin and Patau's (Trisomy 13) syndrome successfully intubated with a fiberoptic-assisted laryngoscope (FOL). A fiberoptic scope and any size of a laryngoscope blade can be easily assembled in the operating room. The FOL may be a useful device in the setting of difficult paediatric intubation.

摘要

患有先天性颅面畸形儿童的气道管理对儿科麻醉医生来说是一项挑战。我们科室没有用于困难儿科插管的视频辅助气道设备。我们决定将常规纤维喉镜(外径3.7毫米,德国卡尔·史托斯公司)连接到传统的麦金托什喉镜(1号尺寸)上。我们描述了两例Pierre Robin综合征和帕陶氏综合征(13三体综合征)患儿通过纤维喉镜辅助成功插管的病例。在手术室中,纤维喉镜和任何尺寸的喉镜叶片都可以轻松组装。纤维喉镜辅助喉镜在困难儿科插管情况下可能是一种有用的设备。

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