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小儿声门下狭窄的麻醉管理:一例报告。

Anesthesia management of pediatric subglottic stenosis: A case report.

作者信息

Viana Patrícia B, Sousa Francisco A, Pinto Ana I N, Leal Teresa B

机构信息

Serviço de Anestesiologia, Centro Hospitalar e Universitário do Porto, Porto, Portugal.

Serviço de Otorrinolaringologia, Centro Hospitalar e Universitário do Porto, Porto, Portugal.

出版信息

Saudi J Anaesth. 2023 Jan-Mar;17(1):72-74. doi: 10.4103/sja.sja_260_22. Epub 2023 Jan 2.

Abstract

Subglottic stenosis balloon dilation in selected patients may be an option for the treatment of acquired subglottic stenosis, reducing the need for open surgical approaches or tracheostomy. This treatment is a major challenge to otolaryngologists and anesthesiologists, with an interactive collaboration being critical throughout the procedure. When performed, it is fundamental that otolaryngologists and anesthesiologists communicate properly during the procedure to achieve acceptable results. The complex management of the airway and inherent delicacy and risks of the intervention may be challenging. A proper preparation of the procedure and familiarization with the step-by-step technique could optimize the results and prepare the team to deal with intervening complications. We report a case of management and treatment of an 8-month-old baby with subglottic stenosis proposed for endoscopic balloon dilation treatment from Porto, North of Portugal.

摘要

对于部分患者,声门下狭窄球囊扩张术可能是治疗后天性声门下狭窄的一种选择,可减少开放性手术或气管造口术的需求。这种治疗方法对耳鼻喉科医生和麻醉医生来说是一项重大挑战,在整个手术过程中,互动协作至关重要。手术进行时,耳鼻喉科医生和麻醉医生在手术过程中进行恰当沟通以取得可接受的结果是至关重要的。气道的复杂管理以及干预措施固有的精细度和风险可能具有挑战性。对手术进行适当准备并熟悉逐步操作技术可以优化结果,并让团队做好应对干预并发症的准备。我们报告一例来自葡萄牙北部波尔图的8个月大患有声门下狭窄的婴儿,拟接受内镜球囊扩张治疗的管理和治疗病例。

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Anesthesia management of pediatric subglottic stenosis: A case report.小儿声门下狭窄的麻醉管理:一例报告。
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Int J Pediatr Otorhinolaryngol. 2017 Aug;99:141-145. doi: 10.1016/j.ijporl.2017.06.012. Epub 2017 Jun 15.
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Semin Pediatr Surg. 2016 Jun;25(3):138-43. doi: 10.1053/j.sempedsurg.2016.02.006. Epub 2016 Feb 20.
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Balloon dilation laryngoplasty for subglottic stenosis in children: eight years' experience.儿童声门下狭窄的球囊扩张喉成形术:八年经验
Arch Otolaryngol Head Neck Surg. 2012 Mar;138(3):235-40. doi: 10.1001/archoto.2011.1439. Epub 2012 Feb 20.
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Anesthesia for subglottic stenosis in pediatrics.小儿声门下狭窄的麻醉
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