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一例因病态肥胖患者舌头重量导致鼻气管插管堵塞引起的短暂通气困难病例。

A Case of Transient Ventilation Difficulty Caused by the Occlusion of a Nasotracheal Intubation Tube Due to the Weight of the Tongue in a Patient With Morbid Obesity.

作者信息

Tachi Naoko, Sato-Boku Aiji, Okumura Yoko, Hashimoto Mayumi, Okuda Masahiro

机构信息

Department of Anesthesiology, Aichi Gakuin University, Nagoya, JPN.

出版信息

Cureus. 2024 Sep 2;16(9):e68488. doi: 10.7759/cureus.68488. eCollection 2024 Sep.

Abstract

In patients with obesity, airway obstruction is more likely to occur because of the effects of gravity on the supine position and compression of the airway caused by the weight of soft tissues. This significantly increases the risk of apnea and hypoxemia. Therefore, careful airway monitoring and securing are essential after anesthesia induction and during postoperative recovery. Herein, we report a case of nasotracheal intubation tube obstruction caused by the weight of the tongue in a patient with morbid obesity during general anesthesia. This rare complication highlights the importance of careful airway monitoring and management in patients with obesity undergoing general anesthesia.

摘要

在肥胖患者中,由于重力对仰卧位的影响以及软组织重量对气道的压迫,气道梗阻更易发生。这显著增加了呼吸暂停和低氧血症的风险。因此,麻醉诱导后及术后恢复期间,仔细的气道监测和保障至关重要。在此,我们报告一例在全身麻醉期间,病态肥胖患者因舌头重量导致鼻气管插管堵塞的病例。这种罕见的并发症凸显了在肥胖患者接受全身麻醉时仔细进行气道监测和管理的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad63/11449115/caf7681ab01c/cureus-0016-00000068488-i01.jpg

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