Suppr超能文献

全身麻醉下带喉罩患者误吞假牙:一例报告

Ingestion of Dental Prosthesis of A Patient with an LMA Under General Anesthesia: A case report.

作者信息

Teng Howard, Yeoh Cindy B, Clowes Christy, Tollinche Luis E

机构信息

Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center.

出版信息

Arch Anesthesiol. 2019;2(1):25-27.

Abstract

60-year-old male presented for outpatient cystoscopy under General Anesthesia with a Laryngeal Mask Airway (LMA). The patient denied dental prosthesis during assessment. In recovery, a family member noticed a missing dental bridge which prompted a workup that revealed the ingested dental bridge in the stomach. The patient underwent a second anesthetic for upper endoscopy to retrieve the foreign body. This case report highlights the need for vigilance during the entire perioperative period. Early interventions in this setting should include chest and abdominal x-rays and possibly an urgent endoscopy to prevent severe damage to the Gastrointestinal tract.

摘要

一名60岁男性在全身麻醉下使用喉罩气道(LMA)进行门诊膀胱镜检查。患者在评估期间否认有假牙。在恢复过程中,一名家属注意到牙桥缺失,随后进行的检查发现牙桥已被吞入胃中。患者接受了第二次麻醉以进行上消化道内镜检查以取出异物。本病例报告强调了在整个围手术期保持警惕的必要性。在此种情况下的早期干预措施应包括胸部和腹部X光检查,可能还需要紧急内镜检查,以防止对胃肠道造成严重损害。

相似文献

2
[Study of the laryngeal mask airway for airway management in childrenwith acute severe tracheobronchial foreign body].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Nov 5;30(21):1721-1724. doi: 10.13201/j.issn.1001-1781.2016.21.014.
3
A comparison of endotracheal intubation and use of the laryngeal mask airway for ambulatory oral surgery patients.
J Oral Maxillofac Surg. 2002 Jan;60(1):2-4; discussion 4-5. doi: 10.1053/joms.2002.29047.

本文引用的文献

1
Dental injury in anaesthesia: a tertiary hospital's experience.
BMC Anesthesiol. 2018 Aug 16;18(1):108. doi: 10.1186/s12871-018-0569-6.
2
Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review.
World J Gastrointest Endosc. 2014 Oct 16;6(10):475-81. doi: 10.4253/wjge.v6.i10.475.
3
Prevention and management of accidental foreign body ingestion and aspiration in orthodontic practice.
Ther Clin Risk Manag. 2012;8:245-52. doi: 10.2147/TCRM.S30639. Epub 2012 May 23.
4
"Where are my teeth?" A case of unnoticed ingestion of a dislodged fixed partial denture.
Anesth Analg. 2009 Sep;109(3):836-8. doi: 10.1213/ane.0b013e3181ae06c9.
5
Perioperative dental considerations for the anesthesiologist.
Anesth Analg. 2009 May;108(5):1564-73. doi: 10.1213/ane.0b013e31819d1db5.
6
Dysphagia after emergency intubation: case report and literature review.
Dysphagia. 2009 Mar;24(1):105-8. doi: 10.1007/s00455-008-9154-3. Epub 2008 Apr 25.
7
Dental injury associated with anesthesia: a report of 161,687 anesthetics given over 14 years.
J Clin Anesth. 2007 Aug;19(5):339-45. doi: 10.1016/j.jclinane.2007.02.007.
8
Ingestion of a fixed partial denture during general anesthesia.
Anesth Prog. 2007 Summer;54(2):50-1. doi: 10.2344/0003-3006(2007)54[50:IOAFPD]2.0.CO;2.
9
Guideline for the management of ingested foreign bodies.
Gastrointest Endosc. 2002 Jun;55(7):802-6. doi: 10.1016/s0016-5107(02)70407-0.
10
Perianesthetic dental injuries: frequency, outcomes, and risk factors.
Anesthesiology. 1999 May;90(5):1302-5. doi: 10.1097/00000542-199905000-00013.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验