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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.

DOI:10.5152/TJAR.2021.21191
PMID:35979978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9524444/
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
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adab/9524444/7e8412559aa4/tjar-50-4-303_f001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adab/9524444/7e8412559aa4/tjar-50-4-303_f001.jpg

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Difficult Ventilation in an Infant After Successful Intubation.插管成功后婴儿的通气困难
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2
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引用本文的文献

1
Partial Obstruction of the Endotracheal Tube by a Part of the Metallic Stylet; Case Report and Review of the Literature.金属探条的一部分导致气管内导管部分阻塞;病例报告及文献综述
Int Med Case Rep J. 2023 Aug 24;16:485-489. doi: 10.2147/IMCRJ.S414298. eCollection 2023.

本文引用的文献

1
Compromised Ventilation in an Infant Caused by a Defective Connector of Endotracheal Tube.气管内导管连接器缺陷导致婴儿通气受损。
J Indian Assoc Pediatr Surg. 2019 Apr-Jun;24(2):151-152. doi: 10.4103/jiaps.JIAPS_108_18.
2
Endotracheal tube connector defect causing airway obstruction in a child.气管内导管连接器缺陷导致儿童气道阻塞。
Indian J Anaesth. 2017 Dec;61(12):1020-1021. doi: 10.4103/ija.IJA_524_17.
3
Endotracheal Tube Obstruction: A Manufacturing Defect.气管内导管阻塞:一种制造缺陷。
Turk J Anaesthesiol Reanim. 2015 Feb;43(1):62-4. doi: 10.5152/TJAR.2014.07769. Epub 2014 Dec 9.
4
Manufacturing defect of endotracheal tube connector: A cause of airway obstruction.气管导管接头的制造缺陷:气道梗阻的一个原因。
J Anaesthesiol Clin Pharmacol. 2014 Oct;30(4):583-4. doi: 10.4103/0970-9185.142889.
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An unusual cause of airway obstruction!气道梗阻的一种罕见病因!
Indian J Anaesth. 2014 Jan;58(1):90-1. doi: 10.4103/0019-5049.126842.
6
Ventilation failure due to endotracheal tube T-connector defect.因气管内导管T形接头缺陷导致的通气衰竭。
Indian J Anaesth. 2010 Jul;54(4):357-8. doi: 10.4103/0019-5049.68382.
7
The Australian Incident Monitoring Study. Problems related to the endotracheal tube: an analysis of 2000 incident reports.澳大利亚事件监测研究。与气管内导管相关的问题:对2000份事件报告的分析。
Anaesth Intensive Care. 1993 Oct;21(5):611-6. doi: 10.1177/0310057X9302100520.
8
Defective tracheal tube connector.气管导管接头有缺陷。
Can Anaesth Soc J. 1982 Jan;29(1):80-1. doi: 10.1007/BF03007958.