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择期手术中意外的困难气道:一例病例报告及文献综述

Unanticipated Difficult Airway During Elective Surgery: A Case Report and Review of Literature.

作者信息

Rugnath Nickhil, Rexrode Lindsay E, Kurnutala Lakshmi N

机构信息

Anesthesiology, University of Mississippi Medical Center, Jackson, USA.

Anesthesiology and Perioperative Medicine, University of Mississippi Medical Center, Jackson, USA.

出版信息

Cureus. 2022 Dec 27;14(12):e32996. doi: 10.7759/cureus.32996. eCollection 2022 Dec.

Abstract

Difficult airway during anesthesia is responsible for several cases of morbidity and mortality worldwide, especially when it is unanticipated. Patients with either history of or with predictive factors of a difficult airway show better outcomes since all preventative measures will ensure patient safety. Approximately 30% of all deaths attributed to anesthesia are related to unsuccessful intubation. In this article, we discuss a patient who had a tracheostomy following an unanticipated difficult airway with undiagnosed subglottic stenosis and also reviewed the current literature on the difficult airway.

摘要

麻醉期间的困难气道在全球范围内导致了多起发病和死亡病例,尤其是在未被预料到时。有困难气道病史或具备困难气道预测因素的患者预后较好,因为所有预防措施都能确保患者安全。所有麻醉相关死亡中约30%与插管失败有关。在本文中,我们讨论了一名患者,该患者在经历意外的困难气道且伴有未被诊断出的声门下狭窄后接受了气管造口术,同时还回顾了有关困难气道的当前文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f02/9879068/9f1ed4c5bffd/cureus-0014-00000032996-i01.jpg

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