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TAScope引导下对一例小颌畸形且有插管失败史的患者进行快速顺序诱导插管。

TAScope-guided rapid sequence intubation of a case of retrognathia with a history of failed intubation.

作者信息

Chari Alankrita, Tejesh C A, Sudarshan K Shruthi

机构信息

Department of Anaesthesiology, Ramaiah Medical College Hospital, Bengaluru, Karnataka, India.

出版信息

Saudi J Anaesth. 2023 Jul-Sep;17(3):427-429. doi: 10.4103/sja.sja_901_22. Epub 2023 Jun 22.

Abstract

A 72-year-old female with symptomatic cholelithiasis was posted for laparoscopic cholecystectomy. She had been previously posted for the same surgery at a different center, but the surgery was not performed due to failed intubation. On airway examination, reduced thyromental distance, prominent incisors, and retrognathia were observed. We planned and executed rapid sequence intubation under videolaryngoscope guidance using The Anaesthetist Society Scope, and the surgery proceeded uneventfully. At the end of the surgery, she was extubated over a bougie, observed, and shifted out without complications.

摘要

一名72岁有症状胆结石的女性准备接受腹腔镜胆囊切除术。她之前在另一家中心也准备接受同样的手术,但由于插管失败手术未进行。气道检查时,发现颏甲距离缩短、门牙突出和下颌后缩。我们计划并在视频喉镜引导下使用麻醉医师协会喉镜执行快速顺序插管,手术顺利进行。手术结束时,她通过探条引导拔管,经过观察后顺利转出,无并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf9f/10435806/3ef72e77c847/SJA-17-427-g001.jpg

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