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急诊剖宫产术后患有特西埃裂的严重畸形新生儿的意外困难气道管理

Unexpected Difficult Airway Management in a Grossly Malformed Newborn Baby With Tessier Cleft After an Emergency Cesarean Section.

作者信息

Tandon Shipra, Dhar Mridul, Bannerjee Amrita

机构信息

Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, IND.

出版信息

Cureus. 2022 Jul 13;14(7):e26832. doi: 10.7759/cureus.26832. eCollection 2022 Jul.

DOI:10.7759/cureus.26832
PMID:35974854
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9375132/
Abstract

Emergent obstetric deliveries may present the anesthesiologist with a unique challenge of managing the airway of previously undiagnosed syndromic or malformed newborns in the obstetric theatre. The present report describes an emergency cesarean section in a 32-year-old lady who delivered a newborn with grossly anomalous features, the challenges in airway management in the newborn, and a discussion on preparation and sensitization about encountering such scenarios for the anesthesiologist and the associated medical teams.

摘要

产科急诊分娩可能给麻醉医生带来独特的挑战，即在产科手术室处理先前未被诊断出患有综合征或畸形的新生儿的气道。本报告描述了一名32岁女性的急诊剖宫产手术，该产妇分娩出一名具有明显异常特征的新生儿，新生儿气道管理中的挑战，以及针对麻醉医生和相关医疗团队遇到此类情况的准备工作和敏感性讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce7f/9375132/cc19357a167c/cureus-0014-00000026832-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce7f/9375132/cc19357a167c/cureus-0014-00000026832-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce7f/9375132/cc19357a167c/cureus-0014-00000026832-i01.jpg

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本文引用的文献

1
Management of the Difficult Airway in the Pediatric Patient.儿科患者困难气道的管理
J Pediatr Intensive Care. 2018 Sep;7(3):115-125. doi: 10.1055/s-0038-1624576. Epub 2018 Jan 28.
2
Facial clefts and facial dysplasia: revisiting the classification.面部裂隙与面部发育异常：重新审视分类
J Craniofac Surg. 2014 Jan;25(1):26-34. doi: 10.1097/SCS.0b013e3182a2ea94.
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The unbooked mother: a cohort study of maternal and foetal outcomes in a North London Hospital.未预约产妇：伦敦北部某医院产妇和胎儿结局的队列研究。
Arch Gynecol Obstet. 2010 Apr;281(4):613-6. doi: 10.1007/s00404-009-1152-7. Epub 2009 Jun 24.
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Pediatric upper airway and congenital anomalies.
Anesthesiol Clin North Am. 2002 Dec;20(4):747-66. doi: 10.1016/s0889-8537(02)00018-4.