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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.

DOI:10.7759/cureus.65937
PMID:39221405
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11365701/
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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本文引用的文献

1
Managing limitations of the LMA Classic laryngeal mask as a conduit for tracheal intubation in impending paediatric airway obstruction: a case report.应对小儿即将发生气道梗阻时使用喉罩经典型作为气管插管通道的局限性：一例病例报告
Hong Kong Med J. 2022 Aug;28(4):321-323. doi: 10.12809/hkmj219435.
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Prolonged Use of Supraglottic Airway Device for Mechanical Ventilation in the Intensive Care Unit.在重症监护病房中长时间使用声门上气道装置进行机械通气
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An airway exchange catheter facilitates removal of the intubating laryngeal airway after tracheal intubation in children.气道交换导管有助于在儿童气管插管后移除喉罩气道。
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Algorithms for management of the difficult airway.困难气道管理的算法
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10
Difficulty in advancing a tracheal tube over a fibreoptic bronchoscope: incidence, causes and solutions.经纤维支气管镜推进气管导管困难：发生率、原因及解决方法
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