西斯特伦克手术后颈部血肿致气道梗阻时紧急低技能纤维支气管镜插管的挑战
Challenges of Emergency Low-Skill Fibreoptic Intubation in Airway Obstruction by a Neck Haematoma After the Sistrunk Procedure.
作者信息
Lim Yiqi Ofelia, Au-Yong Angie Phui-Sze
机构信息
Department of Anaesthesiology, Singapore General Hospital, Singapore, SGP.
Department of Anaesthesiology, Sengkang General Hospital, Singapore, SGP.
出版信息
Cureus. 2024 Aug 1;16(8):e65937. doi: 10.7759/cureus.65937. eCollection 2024 Aug.
Abstract
Anterior neck haematoma is a rare but potentially fatal emergency due to airway obstruction after a surgical intervention of the neck. Complete airway obstruction can be rapid and deteriorate exponentially. In a patient with a previously normal laryngeal view during his Sistrunk procedure, we describe the challenges and considerations faced in his second surgery for the evacuation of neck haematoma, which involved an unanticipated difficult airway after rapid sequence induction, necessitating rescue measures using low-skill fibreoptic intubation (LSFOI).
摘要
颈部前方血肿是一种罕见但可能致命的紧急情况，发生于颈部手术干预后因气道阻塞所致。完全气道阻塞可能迅速发生且呈指数级恶化。在一名患者行Sistrunk手术期间喉镜视野先前正常的情况下，我们描述了其第二次手术清除颈部血肿时所面临的挑战和考量，该手术在快速顺序诱导后出现了意外的困难气道，需要采用低技术纤维光导插管（LSFOI）进行抢救措施。
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