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经鼻插管期间因鼻甲切除术导致气管内导管阻塞

Endotracheal Tube Obstruction via Turbinectomy During Nasal Intubation.

作者信息

Pierre Robert, Dym Harry

机构信息

The Brooklyn Hospital Center, Department of Oral & Maxillofacial Surgery, Brooklyn, New York.

出版信息

Anesth Prog. 2018 Winter;65(4):255-258. doi: 10.2344/anpr-65-04-09.

DOI:10.2344/anpr-65-04-09
PMID:30715951
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6318732/
Abstract

The purpose of this article is to describe a case of an accidental turbinectomy during nasal intubation for an elective oral and maxillofacial surgical case that was confirmed after extubation. While there are several reported cases, this still tends to be an overall rare complication in the field of anesthesia. This article highlights the complications encountered due to turbinectomy while also identifying causes, signs, and methods to prevent it.

摘要

本文旨在描述一例择期口腔颌面外科手术经鼻插管过程中意外发生的鼻甲切除术病例,该病例在拔管后得到确诊。虽然有几例相关报道,但在麻醉领域这仍是一种总体较为罕见的并发症。本文重点介绍了因鼻甲切除术而出现的并发症,同时还确定了其原因、体征及预防方法。

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Endotracheal Tube Obstruction via Turbinectomy During Nasal Intubation.经鼻插管期间因鼻甲切除术导致气管内导管阻塞
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本文引用的文献

1
Nasal intubation: A comprehensive review.鼻腔插管:全面综述。
Indian J Crit Care Med. 2016 Nov;20(11):662-667. doi: 10.4103/0972-5229.194013.
2
Reducing nasopharyngeal trauma: the urethral catheter-assisted nasotracheal intubation technique.减少鼻咽部创伤:尿道导管辅助经鼻气管插管技术
Anesth Prog. 2011 Spring;58(1):26-30. doi: 10.2344/0003-3006-58.1.26.
3
Management of epistaxis.鼻出血的处理
Am Fam Physician. 2005 Jan 15;71(2):305-11.
4
A simple technique to reduce epistaxis and nasopharyngeal trauma during nasotracheal intubation in a child with factor IX deficiency having dental restoration.
Anesth Analg. 2004 Oct;99(4):1056-1057. doi: 10.1213/01.ANE.0000133914.26066.99.
5
Accidental middle turbinectomy: a complication of nasal intubation.意外性中鼻甲切除术:鼻腔插管的一种并发症。
Anesthesiology. 1999 Jun;90(6):1782-4. doi: 10.1097/00000542-199906000-00039.
6
Mainstem bronchial obstruction secondary to nasotracheal intubation: a case report and review of the literature.
Anesth Analg. 1991 Oct;73(4):487-9. doi: 10.1213/00000539-199110000-00021.