经口清醒纤维支气管镜插管（AFOI）成功的秘诀：针对伴有齿源性脓肿的患者。
Secrets to a successful awake fibreoptic intubation (AFOI) on a patient with odentogenous abscess.
机构信息
Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.
Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth 2, Kota Kinabalu, Sabah, Malaysia.
出版信息
BMJ Case Rep. 2021 Feb 19;14(2):e238600. doi: 10.1136/bcr-2020-238600.
Abstract
Awake fibreoptic intubation (AFOI) is an established modality in patients with anticipated difficulty with tracheal intubation. This case demonstrates that with careful and meticulous preparations, AFOI can lead to improved airway management and excellent patient outcomes. A 38-year-old woman presented with severe trismus secondary to odentogenous abscess was identified preoperatively as having a potential difficult airway. AFOI was performed successfully using combined Spray-As-You-Go and dexmedetomidine technique.
摘要
清醒纤维支气管镜插管（AFOI）是一种在预计气管插管困难的患者中建立的方法。本病例表明，通过仔细和精心的准备，AFOI 可以改善气道管理并获得良好的患者结局。一名 38 岁的女性因牙源性脓肿导致严重牙关紧闭，术前被确定为潜在的困难气道。使用 Spray-As-You-Go 和右美托咪定联合技术成功进行了 AFOI。
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本文引用的文献
1
Decision-making in awake fibre optic intubation for patients with severe dentofacial infection: which patients will require fibre optic intubation?清醒状态下纤维光导插管术在颌面部严重感染患者中的决策：哪些患者需要纤维光导插管术？
Ir J Med Sci. 2020 Aug;189(3):1039-1045. doi: 10.1007/s11845-019-02145-x. Epub 2019 Dec 6.
2
Dexmedetomidine-midazolam versus Sufentanil-midazolam for Awake Fiberoptic Nasotracheal Intubation: A Randomized Double-blind Study.右美托咪定-咪达唑仑与舒芬太尼-咪达唑仑用于清醒纤维支气管镜引导下鼻气管插管的随机双盲研究
Chin Med J (Engl). 2015 Dec 5;128(23):3143-8. doi: 10.4103/0366-6999.170260.
3
'From darkness into light': time to make awake intubation with videolaryngoscopy the primary technique for an anticipated difficult airway?“从黑暗走向光明”：是时候将视频喉镜清醒插管作为预期困难气道的主要技术了吗？
Anaesthesia. 2015 Apr;70(4):387-92. doi: 10.1111/anae.13042.
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Br J Anaesth. 2014 Feb;112(2):348-54. doi: 10.1093/bja/aet310. Epub 2013 Sep 26.
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