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匙孔麻醉——声门下狭窄的围手术期管理:一例报告

Keyhole anesthesia-Perioperative management of subglottic stenosis: A case report.

作者信息

Jafra Anudeep, Virk Ramandeep, Mittal Gourav, Arora Kanika, Arora Suman

机构信息

Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Sector-12, Chandigarh, India.

Department of ENT, Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Sector-12, Chandigarh, India.

出版信息

Saudi J Anaesth. 2020 Jul-Sep;14(3):403-405. doi: 10.4103/sja.SJA_694_19. Epub 2020 May 30.

Abstract

Any narrowing in the airway presents as obstruction and with features of noisy breathing. The presence of subglottic stenosis poses a great challenge to the anesthesiologist. Diagnostic and corrective procedures by Otolaryngologist require rigid endoscopy which demands apneic ventilation. Hence, the goal of general anesthesia in the presence of subglottic stenosis requires a patent airway to maintain oxygenation and ventilation and avoid hypoxia. We present an interesting case of a preterm neonate with subglottic stenosis who was managed successfully with endoscopic release.

摘要

气道的任何狭窄都会表现为阻塞,并伴有呼吸杂音。声门下狭窄的存在给麻醉医生带来了巨大挑战。耳鼻喉科医生进行的诊断和矫正手术需要硬质内镜检查,这需要进行无呼吸通气。因此,在有声门下狭窄的情况下,全身麻醉的目标是保持气道通畅以维持氧合和通气,并避免缺氧。我们报告了一例患有声门下狭窄的早产儿的有趣病例,该病例通过内镜下松解术成功得到治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a0/7458031/29be78f7d1b7/SJA-14-403-g001.jpg

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