Yap Tessa, Quick Mark, Moore Paige
ENT/Otolaryngology, Royal Perth Hospital, Perth, Western Australia, Australia
ENT/Otolaryngology, Royal Perth Hospital, Perth, Western Australia, Australia.
BMJ Case Rep. 2021 Feb 26;14(2):e239806. doi: 10.1136/bcr-2020-239806.
Glottic stenosis can be an unexpected finding during an intubation, causing difficulties that may result in a 'can't intubate, can't ventilate' situation. We present a case of a patient who required an emergency tracheostomy, in the setting of a failed intubation secondary to glottic stenosis. The patient underwent open laryngotracheal reconstruction, followed by tracheostomy decannulation 2 months post-surgery. This paper highlights the importance of awareness of laryngeal pathology masquerading as respiratory conditions. It also outlines the critical approach to managing 'can't intubate, can't ventilate' situations.
声门狭窄可能是插管过程中意外出现的情况，会引发困难，甚至可能导致“无法插管、无法通气”的局面。我们报告一例患者，该患者因声门狭窄导致插管失败而需要紧急气管切开术。患者接受了开放性喉气管重建术，术后2个月气管切开管拔除。本文强调了认识伪装成呼吸疾病的喉部病变的重要性。它还概述了处理“无法插管、无法通气”情况的关键方法。
