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视频喉镜检查期间的扁桃体创伤:一例报告

Tonsillar Trauma During Video Laryngoscopy: A Case Report.

作者信息

Tufail Bilal, Shabbir Muhammad, Majeed Amer, Akhtar Ahmed Bilal, Al Malyan Mohamed

机构信息

Anesthesia and Critical Care, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

出版信息

Cureus. 2023 Jul 10;15(7):e41617. doi: 10.7759/cureus.41617. eCollection 2023 Jul.

DOI:10.7759/cureus.41617
PMID:37565098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10410289/
Abstract

Potentially difficult airways warrant the use of airway adjuncts, which, if not used with caution, can cause trauma to the oral cavity. Although most operators are familiar with modern airway adjuncts, as they are not routinely used, adverse events can occur. Since its introduction, a video laryngoscope (VL) has been lauded as a necessary instrument for airway management in and out of the operating room. This case report highlights right tonsillar tissue perforation with a GlideScope® VL (Verathon Incorporated, Bothell, Washington, USA), requiring primary closure by an otolaryngologist.

摘要

潜在的困难气道需要使用气道辅助工具,如果使用不当,可能会导致口腔创伤。尽管大多数操作人员熟悉现代气道辅助工具,但由于它们并非常规使用,仍可能发生不良事件。自视频喉镜(VL)问世以来,它一直被誉为手术室内外气道管理的必备器械。本病例报告重点介绍了使用GlideScope® VL(美国华盛顿州博塞尔市Verathon公司)导致右侧扁桃体组织穿孔的情况,需要耳鼻喉科医生进行一期缝合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/c729e69855df/cureus-0015-00000041617-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/b8252e13cde5/cureus-0015-00000041617-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/266af68384df/cureus-0015-00000041617-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/c729e69855df/cureus-0015-00000041617-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/b8252e13cde5/cureus-0015-00000041617-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/266af68384df/cureus-0015-00000041617-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0f/10410289/c729e69855df/cureus-0015-00000041617-i03.jpg

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本文引用的文献

1
Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation: a Cochrane Systematic Review.视频喉镜与直接喉镜用于成人气管插管:Cochrane 系统评价。
Br J Anaesth. 2017 Sep 1;119(3):369-383. doi: 10.1093/bja/aex228.
2
Soft Palate Injuries During Orotracheal Intubation With the Videolaryngoscope.使用视频喉镜经口气管插管期间的软腭损伤
Ann Otol Rhinol Laryngol. 2017 Feb;126(2):132-137. doi: 10.1177/0003489416678008. Epub 2016 Nov 13.
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Review of videolaryngoscopy pharyngeal wall injuries.视频喉镜检查所致咽壁损伤的综述
Laryngoscope. 2017 Feb;127(2):349-353. doi: 10.1002/lary.26134. Epub 2016 Jun 27.
4
Tips and Troubleshooting for Use of the GlideScope Video Laryngoscope for Emergency Endotracheal Intubation.使用GlideScope视频喉镜进行紧急气管插管的技巧与故障排除
Am J Emerg Med. 2015 Sep;33(9):1273-7. doi: 10.1016/j.ajem.2015.05.003. Epub 2015 May 13.
5
Avoiding palatopharyngeal trauma during videolaryngoscopy: do not forget the 'blind spots'.
Acta Anaesthesiol Scand. 2012 Apr;56(4):532-4. doi: 10.1111/j.1399-6576.2011.02642.x. Epub 2012 Jan 31.
6
Soft palate perforation during orotracheal intubation facilitated by the GlideScope videolaryngoscope.使用GlideScope视频喉镜辅助经口气管插管期间发生软腭穿孔。
J Clin Anesth. 2007 Dec;19(8):619-21. doi: 10.1016/j.jclinane.2007.03.010.
7
The GlideScope-specific rigid stylet and standard malleable stylet are equally effective for GlideScope use.用于GlideScope喉镜的特定刚性管芯和标准可塑管芯在使用GlideScope喉镜时同样有效。
Can J Anaesth. 2007 Nov;54(11):891-6. doi: 10.1007/BF03026792.