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插管成功后婴儿的通气困难

Difficult Ventilation in an Infant After Successful Intubation.

作者信息

Evren Şahin Kübra, Salman Önemli Canan

机构信息

Department of Anesthesiology and Reanimation, Dr. Behçet Uz Children's Hospital, İzmir, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2022 Aug;50(4):303-305. doi: 10.5152/TJAR.2021.21191.

Abstract

Manufacturing defects in the connector of the endotracheal tube are not frequently encountered in emergency and planned intubations. In cases where they are encountered, however, they may cause partial or complete airway obstruction in sick infants with limited reserves, giving rise to a life-threatening situation following the intubation. For this reason, endotracheal tubes must be checked carefully before use. To this end, a stylet can be passed through the tube to check for a defect in the tube lumen or tube connector as part of a routine check of an endotracheal tube. This report features a patient who experienced a complete airway obstruction following intubation due to a manufacturing defect in the connector of the endotracheal tube.

摘要

气管内导管连接器的制造缺陷在急诊和择期插管中并不常见。然而,一旦遇到这种情况,对于储备功能有限的患病婴儿,可能会导致部分或完全气道阻塞,从而在插管后引发危及生命的状况。因此,气管内导管在使用前必须仔细检查。为此,作为气管内导管常规检查的一部分,可以将一根管芯穿过导管,以检查管腔或导管连接器是否存在缺陷。本报告介绍了一名患者,其在插管后因气管内导管连接器的制造缺陷而出现完全气道阻塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adab/9524444/7e8412559aa4/tjar-50-4-303_f001.jpg

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