两例新生儿意外气管发育不全病例报告：困难气道管理算法之外的三个“C”
Two case reports of unexpected tracheal agenesis in the neonate: 3 C's beyond algorithms for difficult airway management.
作者信息
Grass Beate, Simma Leopold, Reinehr Michael, Zimmermann Urs, Gysin Claudine, Henze Georg, Cannizzaro Vincenzo
机构信息
Department of Intensive Care Medicine and Neonatology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
Children's Research Center, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
出版信息
BMC Pediatr. 2017 Feb 8;17(1):49. doi: 10.1186/s12887-017-0806-z.
BACKGROUND
Handling neonates with postnatal respiratory failure due to congenital airway malformations implies knowledge about emergency management of unexpected difficult airway. In these stressful situations both technical and communication skills of the caretakers are essential.
CASE PRESENTATION
Two cases with prenatally unknown tracheal agenesis are reported.
CONCLUSION
In the presented cases, airway malformation and subsequent difficulties upon endotracheal intubation were not adequately communicated between caretakers. We discuss the aspects of culture, communication, and capnography.
背景
处理因先天性气道畸形导致出生后呼吸衰竭的新生儿，需要了解意外困难气道的紧急处理方法。在这些紧张的情况下，护理人员的技术和沟通技巧都至关重要。
病例报告
报告了两例产前未被发现的气管闭锁病例。
结论
在这些病例中，护理人员之间未就气道畸形及随后气管插管时遇到的困难进行充分沟通。我们讨论了文化、沟通和二氧化碳图等方面的问题。
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