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支撑喉镜检查期间的心搏停止：病例报告、文献综述及预防策略

Asystole during Suspension Laryngoscopy: Case Report, Literature Review, and Prophylactic Strategies.

作者信息

Justi Cassettari Arthur, Campos E Santos Érica Cristina, Semenzati Graziela Oliveira, Crespo Agrício Nubiato

机构信息

Otorhinolaryngology Resident at the Department of Otorhinolaryngology, Faculty of Medical Sciences, State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil.

Laryngology Fellowship at the Department of Otorhinolaryngology, Faculty of Medical Sciences, UNICAMP, Campinas, Brazil.

出版信息

Case Rep Otolaryngol. 2020 Jan 22;2020:9260564. doi: 10.1155/2020/9260564. eCollection 2020.

DOI:10.1155/2020/9260564
PMID:32089935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6996711/
Abstract

Transoral laryngeal procedures are considered minimally invasive but may trigger important complications such as severe bradycardia and even asystole mediated by vagal reflex. The literature on this subject is rare. This article aims to review the literature, explain associated mechanisms, establish prophylactic strategies, and highlight the importance of intraoperative safety protocols.

摘要

经口喉部手术被认为是微创的，但可能引发重要并发症，如由迷走神经反射介导的严重心动过缓甚至心搏停止。关于这一主题的文献很少。本文旨在回顾文献，解释相关机制，制定预防策略，并强调术中安全协议的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/dd08cb4688a9/CRIOT2020-9260564.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/0daa0d8d6fd0/CRIOT2020-9260564.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/66f78e9e592f/CRIOT2020-9260564.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/dd08cb4688a9/CRIOT2020-9260564.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/0daa0d8d6fd0/CRIOT2020-9260564.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/66f78e9e592f/CRIOT2020-9260564.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f05/6996711/dd08cb4688a9/CRIOT2020-9260564.003.jpg

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2
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Laryngoscope. 2016 Apr;126(4):949-50. doi: 10.1002/lary.25590. Epub 2015 Nov 3.
3
Does topical anesthesia using aerosolized lidocaine inhibit the superior laryngeal nerve reflex?表面麻醉剂经气雾剂使用能否抑制喉上神经反射？
Otolaryngol Head Neck Surg. 2013 Sep;149(3):466-72. doi: 10.1177/0194599813495372. Epub 2013 Jul 1.
4
Bradycardia and hypotension during laryngoscopy for intubation in maxillofacial trauma.颌面创伤患者插管喉镜检查期间的心动过缓和低血压。
Saudi J Anaesth. 2012 Oct-Dec;6(4):436-7. doi: 10.4103/1658-354X.105906.
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Severe bradycardia during laryngoscopy in adult neurosurgical patient.成年神经外科患者喉镜检查期间出现严重心动过缓。
Saudi J Anaesth. 2012 Jul;6(3):308. doi: 10.4103/1658-354X.101234.
6
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7
Bradycardia during critical care intubation: mechanisms, significance and atropine.危重症患者插管时的心动过缓：机制、意义和阿托品。
Arch Dis Child. 2012 Feb;97(2):139-44. doi: 10.1136/adc.2010.210518. Epub 2011 May 28.
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Surgical anatomy of the internal branch of the superior laryngeal nerve.喉上神经内支的手术解剖学
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Masui. 2005 Sep;54(9):1030-3.