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黏多糖贮积症的气道管理:一项回顾性病例系列研究

Airway management in mucopolysaccharidosis: a retrospective case series review.

作者信息

Tümer Murat, Yılbaş Aysun Ankay, Debbağ Sehend, Sarıcaoğlu Fatma, Canbay Özgür

机构信息

Hacettepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Ankara, Turkey.

Hacettepe University Faculty of Medicine, Department of Anesthesiology and Reanimation, Ankara, Turkey.

出版信息

Braz J Anesthesiol. 2023 Sep-Oct;73(5):680-682. doi: 10.1016/j.bjane.2021.10.013. Epub 2021 Nov 27.

Abstract

Airway management can be difficult in surgeries of patients with mucopolysaccharidosis. We performed a retrospective review of 31 surgeries performed between 2015 and 2019. The mean age of the patients was 127.6 months. MPS-IV and MPS-VI were the most frequent subtypes. Orthopedic surgeries were the most common surgery type. Difficult intubation was seen in 10 procedures. All patients with difficult intubation were aged over 36 months. Video laryngoscopy was the most common intubation method. Seventeen patients were followed up in the intensive care unit. Although video laryngoscopy seems to be a safe method in these patients, one should always be prepared for alternative methods.

摘要

对于黏多糖贮积症患者的手术,气道管理可能具有挑战性。我们对2015年至2019年间进行的31例手术进行了回顾性研究。患者的平均年龄为127.6个月。MPS-IV和MPS-VI是最常见的亚型。骨科手术是最常见的手术类型。10例手术中出现了插管困难。所有插管困难的患者年龄均超过36个月。视频喉镜是最常用的插管方法。17例患者在重症监护病房接受了随访。尽管视频喉镜在这些患者中似乎是一种安全的方法,但仍应随时准备好备用方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/976c/10533960/88536cda32f1/gr1.jpg

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