Wexler S, Hall K, Chin R Y, Prineas S N
Head and Neck Surgeon, Otolaryngology Head and Neck Surgery, Nepean Hospital, Clinical Associate Professor, Clinical Director of Education Otolaryngology Head and Neck Surgery, The University of Sydney, Conjoint Associate, Western Sydney University, Sydney, New South Wales.
Anaesth Intensive Care. 2018 Jan;46(1):97-101. doi: 10.1177/0310057X1804600114.
We describe the successful use of cannula cricothyroidotomy and the Rapid-O2™ oxygen insufflation device (Meditech Systems Ltd, Dorset, UK) for rescue of a can't intubate/can't oxygenate (CICO) scenario in a patient with severe airway haemorrhage post-debridement of laryngeal amyloidosis. This case highlights the practical utility of a cannula technique for CICO rescue when appropriate equipment is used and when institutional measures are taken to prepare for this rare anaesthetic crisis.
我们描述了成功使用套管环甲膜切开术和Rapid-O2™ 氧气注入装置(英国多塞特郡的Meditech Systems Ltd公司)对一名喉淀粉样变清创术后严重气道出血患者进行不能插管/不能给氧(CICO)情况的抢救。该病例突出了在使用适当设备并采取机构措施为这种罕见的麻醉危机做准备时,套管技术在CICO抢救中的实际效用。