创伤性完全气管横断的成功气道管理。
Successful airway management of traumatic complete tracheal transection.
作者信息
Gupta Babita, Bagaria Dinesh, Kumar Atin, Perveen Fahina
机构信息
Anaesthesiology, All India Institute of Medical Sciences, New Delhi, Delhi, India
Surgery, All India Institute of Medical Sciences, New Delhi, India.
出版信息
BMJ Case Rep. 2022 Dec 21;15(12):e251688. doi: 10.1136/bcr-2022-251688.
A man in his 20s sustained complete tracheal transection after being injured by a sandbag pile falling on his neck. An oral endotracheal tube (ETT) was inserted by rapid sequence induction in view of respiratory distress. CT revealed that the ETT did not traverse the distal tracheal segment; however, there were rebreathing bag movements, and normal capnograph and oxygen saturation, which were misleading clinical findings. We describe the successful airway management in this challenging case.
一名20多岁的男子颈部被倒下的沙袋堆砸伤后发生了完全性气管横断。鉴于呼吸窘迫，通过快速顺序诱导插入了气管内插管（ETT）。CT显示ETT未穿过气管远端节段；然而，有呼吸囊运动，以及正常的二氧化碳波形图和氧饱和度，这些都是具有误导性的临床发现。我们描述了在这个具有挑战性的病例中成功的气道管理。
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