Singh Neha, Rao Parnandi Bhaskar, Samal Rajeev Lochan
Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
J Emerg Med. 2019 Sep;57(3):380-382. doi: 10.1016/j.jemermed.2019.05.028. Epub 2019 Aug 1.
Most airway management is done in the supine position, but some situations may require airway management in the lateral position. Most emergency physicians and anesthesiologists are not comfortable with intubation in the lateral position.
We present a patient with giant presacral neurofibroma and the use of video laryngoscope for airway management in the lateral position. To the best of our knowledge, we are the first to utilize a video laryngoscope for lateral intubation. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: An emergency physician is the first contact for many patients when immediate airway management is mandatory. Lateral position for airway management is not popular among anesthesiologists and emergency physicians, but the patient's condition and pathology may demand this approach. Airway management in the lateral position can be considered part of airway management training.
大多数气道管理是在仰卧位进行的，但有些情况可能需要在侧卧位进行气道管理。大多数急诊医生和麻醉医生对在侧卧位进行插管操作并不熟练。
我们介绍了一名患有巨大骶前神经纤维瘤的患者，并使用视频喉镜在侧卧位进行气道管理。据我们所知，我们是首个使用视频喉镜进行侧卧位插管的。急诊医生为何应了解这一点？：当必须立即进行气道管理时，急诊医生是许多患者的第一接触者。气道管理的侧卧位在麻醉医生和急诊医生中并不常用，但患者的病情和病理情况可能需要这种方法。侧卧位气道管理可被视为气道管理培训的一部分。
