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正颌手术中气管内导管穿孔的处理

Management of a perforated endotracheal tube during orthognathic surgery.

作者信息

Baker C S, Kora S, Abadir A R

出版信息

Anesth Prog. 1988 Jul-Aug;35(4):158-9.

Abstract

Oral and maxillofacial procedures require nasotracheal intubation that often obscures the anesthesiologist's direct vision of the surgical field. Premature extubation of a damaged endotracheal tube frequently requires replacement and poses a potential risk to the patient. This case illustrates a technique for replacing a damaged endotracheal tube using a nasogastric tube inserted within the damaged tube to suction secretions, insufflate oxygen, and serve as a guide for placement of a new endotracheal tube.

摘要

口腔颌面手术需要进行鼻气管插管,这常常会遮挡麻醉医生对手术视野的直接观察。受损气管内导管过早拔除往往需要重新插管,这对患者构成潜在风险。本病例展示了一种使用插入受损导管内的鼻胃管来吸引分泌物、吹入氧气并作为新气管内导管置入引导的受损气管内导管置换技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a3f/2167961/f7d0d90615d3/anesthprog00274-0032-a.jpg

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