儿童急性会厌炎：27例经鼻气管插管连续病例的管理，特别强调麻醉注意事项。

Acute epiglottitis in children: management of 27 consecutive cases with nasotracheal intubation, with special emphasis on anaesthetic considerations.

作者信息

Blanc V F, Weber M L, Leduc C, Laberge R, Desjardins R, Perreault G

出版信息

Can Anaesth Soc J. 1977 Jan;24(1):1-11. doi: 10.1007/BF03006807.

Abstract

Twenty-seven consecutive cases of acute epiglottitis in children were treated by nasotracheal intubation during a 25-month period. The duration of intubation averaged 44.2 hours. No mortality or morbidity occurred. Mean hospitalization was 4.5 days. Anaesthetic techniques are discussed. Ketamine is a somewhat controversial choice for these patients as it can enhance excitement, restlessness, and accidental extubation. This study reconfirms the ease of maintaining an assured airway by nasotracheal intubation in cases of acute epiglottitis.

摘要

在25个月的时间里，对27例连续的儿童急性会厌炎患者进行了经鼻气管插管治疗。插管持续时间平均为44.2小时。未发生死亡或并发症。平均住院时间为4.5天。讨论了麻醉技术。氯胺酮对于这些患者来说是一个存在一定争议的选择，因为它可能会加剧兴奋、躁动和意外拔管。本研究再次证实了在急性会厌炎病例中经鼻气管插管易于维持安全气道。