Jean Yuel-Kai, Potnuru Paul, Diez Christian
From the Department of Anesthesiology, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida.
Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Ryder Trauma Center, Jackson Memorial Hospital, Miami, Florida.
A A Pract. 2018 Dec 1;11(11):312-314. doi: 10.1213/XAA.0000000000000816.
We present an approach to airway management in a patient with machete injuries culminating in near-complete cricotracheal transection, in addition to a gunshot wound to the neck. Initial airway was established by direct intubation through the cricotracheal wound. Once the airway was secured, a bronchoscopy-guided orotracheal intubation was performed with simultaneous retraction of the cricotracheal airway to optimize the surgical field. This case offers insight into a rarely performed approach to airway management. Furthermore, our case report demonstrates that, in select airway injuries, performing through-the-wound intubation engenders a multitude of benefits.
我们介绍了一种针对一名有大砍刀伤最终导致环状气管几乎完全横断且伴有颈部枪伤患者的气道管理方法。初始气道通过经环状气管伤口直接插管建立。气道 secured 后，在同步回缩环状气管气道以优化手术视野的同时，进行支气管镜引导下的口气管插管。该病例为一种很少实施的气道管理方法提供了见解。此外，我们的病例报告表明，在某些气道损伤中，经伤口插管有诸多益处。 （注：原文中“secured”此处可能是“确保安全、固定好”等意思，但结合语境准确意思不太明确，直接保留英文未翻译，待进一步确认准确含义。）
