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野外条件下的困难气道管理:索马里经验

Difficult Airway Management in Field Conditions: Somalia Experience.

作者信息

Özkan Ahmet Selim, Nasır Serdar Nazif

机构信息

Department of Anaesthesiology and Reanimation, İnönü University Faculty of Medicine, Malatya, Turkey.

Department of Plastic Reconstructive and Aesthetical Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2015 Oct;43(5):352-5. doi: 10.5152/TJAR.2015.24445. Epub 2015 Aug 21.

DOI:10.5152/TJAR.2015.24445
PMID:27366527
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4894238/
Abstract

Difficult airway is defined as having the patient's mask ventilation or difficult tracheal intubation of an experienced anaesthesiologist. A number of reasons, such as congenital or acquired anatomical anomalies, can cause difficult intubation and difficult ventilation. Keeping all equipment ready for airway management of patients will reduce mortality and complications. In this case, it is intended that the submission of difficult airway management who encountered in mandibular reconstruction for mandible bone defect repairing with reconstruction plates before at the field conditions in Somalia.

摘要

困难气道被定义为有经验的麻醉医生对患者进行面罩通气困难或气管插管困难。多种原因,如先天性或后天性解剖异常,可导致插管困难和通气困难。准备好所有用于患者气道管理的设备将降低死亡率和并发症。在这种情况下,目的是提交在索马里现场条件下,之前使用重建钢板修复下颌骨缺损进行下颌骨重建时遇到的困难气道管理情况。

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1
Difficult Airway Management in Field Conditions: Somalia Experience.野外条件下的困难气道管理:索马里经验
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The laryngeal mask airway reliably provides rescue ventilation in cases of unanticipated difficult tracheal intubation along with difficult mask ventilation.在意外出现困难气管插管以及困难面罩通气的情况下,喉罩气道能可靠地提供急救通气。
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本文引用的文献

1
Endotracheal tube intubation with the aid of a laryngeal mask airway, a fiberoptic bronchoscope, and a tube exchanger in a difficult airway patient: a case report.在困难气道患者中,使用喉罩气道、纤维支气管镜和管交换器进行气管插管:一例报告。
Korean J Anesthesiol. 2014 Mar;66(3):237-9. doi: 10.4097/kjae.2014.66.3.237. Epub 2014 Mar 28.
2
Comparison of upper lip bite test with Mallampati test in the prediction of difficult intubation at a tertiary care hospital of Pakistan.巴基斯坦一家三级护理医院中,上唇咬试验与马兰帕蒂试验在预测困难插管方面的比较。
J Pak Med Assoc. 2012 Oct;62(10):1012-5.
3
Preoxygenation and prevention of desaturation during emergency airway management.预充氧及预防紧急气道管理期间的低氧血症。
Ann Emerg Med. 2012 Mar;59(3):165-75.e1. doi: 10.1016/j.annemergmed.2011.10.002. Epub 2011 Nov 3.
4
Retrograde orotracheal intubation with a double-lumen tube.使用双腔管进行逆行经口气管插管。
Rev Bras Anestesiol. 2011 Jul-Aug;61(4):474-8. doi: 10.1016/S0034-7094(11)70055-1.
5
Prediction and outcomes of impossible mask ventilation: a review of 50,000 anesthetics.面罩通气困难的预测与结果:50000例麻醉回顾
Anesthesiology. 2009 Apr;110(4):891-7. doi: 10.1097/ALN.0b013e31819b5b87.
6
Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance.预测表面正常患者的困难插管:床边筛查试验性能的荟萃分析
Anesthesiology. 2005 Aug;103(2):429-37. doi: 10.1097/00000542-200508000-00027.
7
Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway.困难气道管理实践指南:美国麻醉医师协会困难气道管理特别工作组的最新报告
Anesthesiology. 2003 May;98(5):1269-77. doi: 10.1097/00000542-200305000-00032.
8
The intubating laryngeal-mask airway may be an ideal device for airway control in the rural trauma patient.插管喉罩气道可能是农村创伤患者气道控制的理想设备。
Am J Emerg Med. 2003 Jan;21(1):80-5. doi: 10.1053/ajem.2003.50012.
9
Specific genetic diseases at risk for sedation/anesthesia complications.存在镇静/麻醉并发症风险的特定遗传疾病。
Anesth Analg. 2000 Oct;91(4):837-55. doi: 10.1097/00000539-200010000-00014.