一位有过度上腹部嗳气的患者的麻醉
Anesthesia for a Patient With Excessive Supragastric Belching.
作者信息
Wong Michelle
机构信息
Dental Anesthesiology, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada, and Department of Dentistry, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
出版信息
Anesth Prog. 2017 Winter;64(4):244-247. doi: 10.2344/anpr-64-04-01.
Excessive supragastric belching is rarely described in the anesthesia literature. Anesthesia planning of a 26-year-old patient with excessive supragastric belching, history of superior mesenteric artery syndrome (SMAS), and dental anxiety requires preoperative assessment. This case report outlines the anesthetic considerations and the management to facilitate comprehensive dentistry. Key anesthetic considerations include anxiolysis, aspiration risk reduction, total intravenous anesthesia (TIVA), and postoperative nausea and vomiting (PONV) prophylaxis.
麻醉学文献中很少描述过度的胃上嗳气。一名患有过度胃上嗳气、肠系膜上动脉综合征（SMAS）病史和牙科焦虑症的26岁患者的麻醉计划需要进行术前评估。本病例报告概述了麻醉注意事项及管理措施，以利于进行全面的牙科治疗。关键的麻醉注意事项包括抗焦虑、降低误吸风险、全静脉麻醉（TIVA）以及预防术后恶心呕吐（PONV）。
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