Constable Natalie, Thomas Carolyn, Jones Martyn, Walters Matt
Anaesthetics, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Anaesthetics, Sherwood Forest Hospitals NHS Foundation Trust, Sutton-In-Ashfield, UK.
BMJ Case Rep. 2018 Jul 12;2018:bcr-2018-224700. doi: 10.1136/bcr-2018-224700.
We present the case of a 53-year-old man who attended our emergency department with stridor. He had recently undergone investigation for possible glottic cancer. We discuss the airway management of such a case. We believe this to be the first description of propofol target controlled infusion and clonidine to supplement a sevoflurane gas induction, in order to obtund response to intubation while maintaining spontaneous ventilation. We also consider how airway interventions may impact prognosis and need to be considered.
我们报告了一名53岁男性因喘鸣前来我院急诊科就诊的病例。他最近因可能的声门癌接受了检查。我们讨论了此类病例的气道管理。我们认为这是首次描述使用丙泊酚靶控输注和可乐定辅助七氟醚气体诱导,以减轻插管反应同时维持自主通气。我们还考虑了气道干预可能如何影响预后以及需要对此加以考虑。