Kim Hyo Jin, Lee Solyi, Cho Hak Moo, Kim Kyung Woo, Choi Hey Ran, Bang Si Ra
Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital, Seoul, Korea.
Int Med Case Rep J. 2020 Dec 2;13:679-683. doi: 10.2147/IMCRJ.S276018. eCollection 2020.
Retropharyngeal deep neck infection sometimes necessitates securing of the airway and surgery for drainage. Airway management in patients with deep neck infection is challenging for anesthesiologists. A 56-year-old woman diagnosed with deep neck infection was admitted for incision and drainage. In the first operation for incision and drainage, indirect videolaryngoscope was utilized to confirm the airway before tracheal intubation, and the patient was intubated successfully. In the second operation for wound closure, dexmedetomidine administration and high-flow nasal cannulation were used during monitored anesthesia care throughout a subsequent procedure. The outcome in the present case suggests that indirect videolaryngoscope, dexmedetomidine, and high-flow nasal cannula can facilitate effective management during surgery in patients with retropharyngeal deep neck space infection.
咽后深部颈部感染有时需要确保气道安全并进行手术引流。对于麻醉医生来说，颈部深部感染患者的气道管理具有挑战性。一名56岁被诊断为颈部深部感染的女性因切开引流入院。在首次切开引流手术中，在气管插管前使用间接视频喉镜确认气道，患者成功插管。在第二次伤口闭合手术中，在整个后续手术的麻醉监测过程中使用了右美托咪定给药和高流量鼻导管吸氧。本病例的结果表明，间接视频喉镜、右美托咪定和高流量鼻导管吸氧可有助于对咽后深部颈部间隙感染患者进行有效的手术管理。
