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因碘伏溶液导致的意外术中气道梗阻。

An unexpected intraoperative airway obstruction due to betadine solution.

作者信息

Mallikarjuna Swathi, Agarwal Ankit, Kadian Sakshi, Thenmozhi Kuppi Srinivasan

机构信息

Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

Saudi J Anaesth. 2023 Jul-Sep;17(3):410-412. doi: 10.4103/sja.sja_743_22. Epub 2023 Jun 22.

Abstract

Intraoperative airway obstruction is a nightmare for anesthesiologists, especially in head and neck surgeries. Due to the proximity of airway and surgical area, it will be difficult for anesthesiologists for the airway access. There are many causes of intraoperative airway obstruction. To the best of our literature search, there is no case report of airway obstruction due to betadine solution. Here we present a case of airway obstruction due to endotracheal tube blockade by the use of betadine solution in the surgery of cervical region in a child posted for posterior C1-C2 fusion in prone position on skull pins.

摘要

术中气道梗阻是麻醉医生的噩梦,尤其是在头颈部手术中。由于气道与手术区域相邻,麻醉医生建立气道通路会很困难。术中气道梗阻有多种原因。据我们广泛的文献检索,尚无因碘伏溶液导致气道梗阻的病例报告。在此,我们报告一例在颅骨牵引下俯卧位行儿童C1 - C2后路融合术的颈部手术中,因使用碘伏溶液导致气管导管堵塞而引起气道梗阻的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03a/10435783/3e8ddb3f4308/SJA-17-410-g001.jpg

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