Cusick F, Wurm K, König V, Bauer M, Sponholz C
Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.
Klinik für Unfall‑, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Jena, Jena, Deutschland.
Med Klin Intensivmed Notfmed. 2020 Sep;115(6):491-494. doi: 10.1007/s00063-019-0582-7. Epub 2019 Apr 16.
An 86-year-old woman was scheduled for surgical treatment of a periprosthetic femoral fracture after a fall. Because of a known difficult airway due to multiple surgeries and radiation for cancer in the orofacial area, awake fiberoptic intubation was planned. During the fiberoptic maneuver the patient experienced a massive bout of coughing which resulted in large soft tissue emphysema and double-sided pneumothorax. This case reports a rare complication of fiberoptic intubation and airway management.
一名86岁女性因跌倒后假体周围股骨骨折计划接受手术治疗。由于已知患者因口腔面部区域多次手术和癌症放疗导致气道困难，故计划行清醒纤维支气管镜插管。在纤维支气管镜操作过程中，患者突然剧烈咳嗽，导致大面积软组织气肿和双侧气胸。本病例报告了纤维支气管镜插管和气道管理的一种罕见并发症。
