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二维困难气道中的超声引导经皮扩张气管切开术

Ultrasound-Guided Percutaneous Dilatational Tracheostomies in 2 Difficult Airways.

作者信息

Valencia José A, Romero David J, Arango Enrique, Cubillos Javier E, Mantilla Hugo A, García-Herreros Luis G

机构信息

Department of Anesthesiology, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.

Department of Surger, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.

出版信息

J Ultrasound Med. 2018 Apr;37(4):1043-1048. doi: 10.1002/jum.14433. Epub 2017 Oct 13.

Abstract

Ultrasound has become a rapid, safe, and easy-to-use tool for anesthesiologists. It reduces complications, morbidity, and mortality, especially in patients with anatomic abnormalities in whom a traditional approach may be both difficult and risky. We report 2 cases of symptomatic patients with a difficult airway due to displacement of the trachea by a neck mass. Real-time ultrasound imaging was performed for percutaneous dilatational tracheostomies, identifying important structures, without any complications.

摘要

超声已成为麻醉医生快速、安全且易于使用的工具。它能减少并发症、发病率和死亡率,尤其对于存在解剖结构异常的患者,传统方法可能既困难又有风险。我们报告2例因颈部肿物致气管移位而出现困难气道的有症状患者。在经皮扩张气管切开术中进行实时超声成像,识别重要结构,未出现任何并发症。

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