Yale New Haven Hospital, New Haven, CT.
Yale School of Medicine, New Haven, CT.
J Cardiothorac Vasc Anesth. 2021 Oct;35(10):3125-3128. doi: 10.1053/j.jvca.2021.02.022. Epub 2021 Feb 11.
The coronavirus disease 2019 pandemic has created not only widespread morbidity and mortality, but a myriad of social, financial, and psychological stressors. In this setting, the medical community has seen a substantial increase in the incidences of cardiac morbidity and mortality, and, therefore, anesthesiologists should expect a higher incidence in the perioperative period. In this E-Challenge, the authors present a patient in whom an acute cardiac decompensation occurred secondary to an unanticipated difficult intubation, with an unexpected echocardiographic finding.
2019 年冠状病毒病大流行不仅造成了广泛的发病率和死亡率，还造成了无数的社会、经济和心理压力。在这种情况下，医学界已经看到心脏发病率和死亡率的大幅上升，因此，麻醉师应该预料到围手术期的发病率会更高。在本次 E 挑战赛中，作者报告了一例因意外困难插管导致急性心功能失代偿的患者，并有一个意外的超声心动图发现。
