Sober N Jos R, Sangari Taran, Ching Jessica, Urdaneta Felipe
North Florida/Southern Georgia Veterans Health System and the University of Florida, Department of Anesthesiology, Gainesville, Florida; University of Central Florida, Department of Anesthesiology, Orlando, Florida.
University of Florida, College of Medicine, Department of Anesthesiology, Gainesville, Florida.
Braz J Anesthesiol. 2023 Sep-Oct;73(5):676-679. doi: 10.1016/j.bjane.2021.03.012. Epub 2021 Apr 19.
Patients with burns to the head and neck may be difficult to intubate or ventilate via facemask. Furthermore, post-burn scarring and microstomia may reduce the success of rescue supraglottic airway placement. While awake tracheal intubation using a flexible intubation scope is considered the optimal technique for these patients, it may not always be feasible in the pediatric population. We report a case of successful management of a difficult airway in a child with extensive post-burn head and neck deformity using a noninvasive positive pressure system to aid with inhalational induction and deep sedation during intubation using a flexible scope.
头颈部烧伤的患者可能难以通过面罩进行插管或通气。此外，烧伤后的瘢痕形成和小口畸形可能会降低声门上气道置入抢救的成功率。虽然使用可弯曲插管镜进行清醒气管插管被认为是这些患者的最佳技术，但在儿科患者中可能并不总是可行的。我们报告了一例成功处理一名患有广泛烧伤后头颈部畸形儿童的困难气道的病例，该病例使用无创正压系统在使用可弯曲插管镜插管期间辅助吸入诱导和深度镇静。
