• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

在困难气道病例中，使用纤维支气管镜并尽量缩短呼吸暂停时间处理术中受损的气管导管。

Management of an intraoperatively damaged endotracheal tube in a case of difficult airway using fibre-optic bronchoscope with minimal apnoea period.

作者信息

Himarani Jayachandran, Nancy S Mary, Krishna Kumar Raja V B, Sundaram S Shanmuga

机构信息

Department of Oral and Maxillofacial Surgery, SRM Dental College, Chennai, Tamil Nadu, India.

出版信息

Indian J Anaesth. 2017 Apr;61(4):347-349. doi: 10.4103/ija.IJA_674_16.

DOI:10.4103/ija.IJA_674_16
PMID:28515525
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5416727/
Abstract

Damage to the endotracheal tube (ETT) is common in head and neck surgeries, especially in maxillary osteotomy. Airway management in such a crisis is crucial as there is risk of aspiration of blood into lungs, hypoxia and apnoea. This case illustrates a patient with an anticipated difficult airway who had an intraoperative damage to the ETT and was successfully managed by re-intubation with fiberoptic bronchoscope in a minimal apnoea period of <15 s using a new technique.

摘要

气管内插管（ETT）损伤在头颈外科手术中很常见，尤其是在上颌骨截骨术中。在这种危急情况下的气道管理至关重要，因为存在血液误吸到肺、缺氧和呼吸暂停的风险。本病例展示了一名预计气道困难的患者，其在术中发生了ETT损伤，并通过一种新技术在小于15秒的最短呼吸暂停期内使用纤维支气管镜重新插管成功进行了处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/998b/5416727/482affca8c4a/IJA-61-347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/998b/5416727/65cf5c1c349a/IJA-61-347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/998b/5416727/482affca8c4a/IJA-61-347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/998b/5416727/65cf5c1c349a/IJA-61-347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/998b/5416727/482affca8c4a/IJA-61-347-g002.jpg

相似文献

1
Management of an intraoperatively damaged endotracheal tube in a case of difficult airway using fibre-optic bronchoscope with minimal apnoea period.在困难气道病例中，使用纤维支气管镜并尽量缩短呼吸暂停时间处理术中受损的气管导管。
Indian J Anaesth. 2017 Apr;61(4):347-349. doi: 10.4103/ija.IJA_674_16.
2
Continuous ventilation during intubation through a supraglottic airway device guided by fiberoptic bronchoscopy: a observational assessment.在纤维支气管镜引导下通过声门上气道装置插管期间的持续通气：一项观察性评估。
Acta Anaesthesiol Scand. 2017 Jan;61(1):23-30. doi: 10.1111/aas.12824. Epub 2016 Nov 3.
3
[Use of fiberoptic bronchoscope for difficult intubation in maxillofacial surgery].
Ann Fr Anesth Reanim. 1993;12(3):278-83. doi: 10.1016/s0750-7658(05)80654-9.
4
Fibre-optic intubation in oncological head and neck emergencies.
J Laryngol Otol. 2005 Aug;119(8):634-8. doi: 10.1258/0022215054516160.
5
Replacing the combitube by an endotracheal tube using a fibre-optic bronchoscope during spontaneous ventilation.在自主通气期间使用纤维支气管镜将双腔喉罩气道替换为气管内导管。
J Laryngol Otol. 1998 Aug;112(8):786-7. doi: 10.1017/s0022215100141702.
6
Accidental Perforation of Submental Flexometallic Tube.颏下可弯曲金属管意外穿孔
Anesth Essays Res. 2017 Jul-Sep;11(3):787-789. doi: 10.4103/0259-1162.186612.
7
Fiberoptic-guided intubation after insertion of the i-gel airway device in spontaneously breathing patients with difficult airway predicted: a prospective observational study.预测困难气道的自主呼吸患者插入i-gel气道装置后纤维支气管镜引导插管：一项前瞻性观察研究。
J Clin Anesth. 2016 Dec;35:287-292. doi: 10.1016/j.jclinane.2016.08.015. Epub 2016 Oct 10.
8
Supraglottic jet oxygenation and ventilation-assisted fibre-optic bronchoscope intubation in patients with difficult airways.声门上喷射给氧和通气辅助纤维支气管镜引导插管在困难气道患者中的应用
Intern Emerg Med. 2017 Aug;12(5):667-673. doi: 10.1007/s11739-016-1531-6. Epub 2016 Sep 14.
9
Difficult intubation using intubating laryngeal mask airway in conjunction with a fiber optic bronchoscope.使用插管喉罩气道联合纤维支气管镜进行困难插管
J Dent Anesth Pain Med. 2015 Sep;15(3):167-171. doi: 10.17245/jdapm.2015.15.3.167. Epub 2015 Sep 30.
10
Ultrasonography for airway management.超声在气道管理中的应用。
Anaesth Crit Care Pain Med. 2021 Apr;40(2):100821. doi: 10.1016/j.accpm.2021.100821. Epub 2021 Mar 17.

引用本文的文献

1
Successful repair of a partially transected endotracheal tube with Dermabond surgical adhesive during a Lefort osteotomy: a case report.在勒福截骨术期间使用皮肤黏合剂成功修复部分横断的气管内导管：一例报告
J Dent Anesth Pain Med. 2023 Apr;23(2):117-119. doi: 10.17245/jdapm.2023.23.2.117. Epub 2023 Mar 28.
2
Efficacy of using an intravenous catheter to repair damaged expansion lines of endotracheal tubes and laryngeal masks.经外周静脉置入中心静脉导管在修复气管导管和喉罩扩张管损伤中的效果。
BMC Anesthesiol. 2022 Jul 26;22(1):238. doi: 10.1186/s12871-022-01776-5.
3
A rare incident of accidentally cut inflation tube in a critically ill intubated patient: Quick and simple approach that proved lifesaving.

本文引用的文献

1
Damage to the pilot balloon of the nasotracheal tube during orthognathic double-jaw surgery: A case report.正颌双颌手术中鼻气管导管的气囊损伤：一例报告。
J Dent Anesth Pain Med. 2015 Jun;15(2):101-103. doi: 10.17245/jdapm.2015.15.2.101. Epub 2015 Jun 30.
2
Intra-operative endotracheal tube damage: Anaesthetic challenges.术中气管内导管损伤：麻醉挑战。
Indian J Anaesth. 2012 May;56(3):311-2. doi: 10.4103/0019-5049.98797.
3
Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions.
一名重症插管患者意外切断充气管的罕见事件：快速简单的方法被证明可挽救生命。
Indian J Anaesth. 2021 Feb;65(2):180-181. doi: 10.4103/ija.IJA_556_20. Epub 2021 Feb 10.
4
Coping with airway emergencies: Get, Set, Go!应对气道急症：准备，就绪，行动！
Indian J Anaesth. 2020 Aug;64(Suppl 3):S168-S174. doi: 10.4103/ija.IJA_591_20. Epub 2020 Aug 15.
5
Endotracheal tube damage during surgically assisted rapid palatal expansion surgery; a case report.外科辅助快速腭扩展手术中气管内导管损伤：一例报告。
J Dent Anesth Pain Med. 2020 Feb;20(1):45-47. doi: 10.17245/jdapm.2020.20.1.45. Epub 2020 Feb 28.
6
Unique mishap following transfacial pin fixated midface distraction and successful management using nasal endoscopy.经面部克氏针固定的面中部牵张成骨术后罕见并发症及鼻内镜下的成功处理
BMJ Case Rep. 2019 Dec 23;12(12):e230940. doi: 10.1136/bcr-2019-230940.
经纤维支气管镜推进气管导管困难：发生率、原因及解决方法
Br J Anaesth. 2004 Jun;92(6):870-81. doi: 10.1093/bja/aeh136. Epub 2004 Apr 30.
4
Concealed airway complication during LeFort I osteotomy.勒福Ⅰ型截骨术中隐匿性气道并发症
Anaesthesia. 2003 Mar;58(3):294-5. doi: 10.1046/j.1365-2044.2003.307024.x.
5
Difficult tracheal extubation.困难气管拔管
Can J Anaesth. 1989 May;36(3 Pt 1):340-2. doi: 10.1007/BF03010778.
6
Oxygen saturation and cardiovascular changes during fibreoptic intubation under general anaesthesia.全身麻醉下纤维支气管镜引导插管期间的血氧饱和度及心血管变化
Anaesthesia. 1992 Feb;47(2):158-61. doi: 10.1111/j.1365-2044.1992.tb02019.x.
7
Fibreoptic intubation under general anaesthesia need not be associated with hypoxia and hypotension.全身麻醉下的纤维光学插管不一定会导致缺氧和低血压。
Anaesthesia. 1992 Sep;47(9):812-3. doi: 10.1111/j.1365-2044.1992.tb03271.x.