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理解与治疗喉罩气道引起的术中呃逆

Understanding and Treating Laryngeal Mask Airway-Induced Intraoperative Hiccups.

作者信息

Khatri Shweta, Hannurkar Poonam

机构信息

Department of Anesthesiology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Sep 20;16(9):e69782. doi: 10.7759/cureus.69782. eCollection 2024 Sep.

DOI:10.7759/cureus.69782
PMID:39429288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11491138/
Abstract

The laryngeal mask airway (LMA) has gained popularity as an airway management device in the perioperative setting due to its ease of use, reduced invasiveness compared to endotracheal intubation, and lower incidence of complications. However, hiccups, though relatively uncommon, can pose a significant challenge during the perioperative period when an LMA is in place. Abrupt movement because of hiccups can lead to delay in surgery as well as interfere with surgical instrumentation. This discussion presents a case where perioperative hiccups occurred with LMA use and explores the management strategies employed.

摘要

喉罩气道(LMA)作为一种气道管理设备,因其使用方便、与气管插管相比侵入性降低以及并发症发生率较低,在围手术期环境中越来越受欢迎。然而,呃逆虽然相对不常见,但在使用LMA的围手术期可能会带来重大挑战。呃逆引起的突然动作可能导致手术延迟,并干扰手术器械操作。本讨论介绍了一例使用LMA时发生围手术期呃逆的病例,并探讨了所采用的管理策略。

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Saudi J Anaesth. 2023 Jul-Sep;17(3):450-451. doi: 10.4103/sja.sja_816_22. Epub 2023 Jun 22.
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Case report: metoclopramide induced acute dystonic reaction in adolescent CYP2D6 poor metabolizers.病例报告:甲氧氯普胺在青少年CYP2D6慢代谢者中诱发急性肌张力障碍反应。
Front Pharmacol. 2023 Jul 11;14:1201566. doi: 10.3389/fphar.2023.1201566. eCollection 2023.
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Stellate Ganglion Block for Intractable Hiccups Secondary to a Motor Vehicle Collision.星状神经节阻滞治疗机动车碰撞后所致顽固性呃逆
Cureus. 2023 Apr 2;15(4):e37030. doi: 10.7759/cureus.37030. eCollection 2023 Apr.
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Transl Perioper Pain Med. 2020;7(1):145-151. doi: 10.31480/2330-4871/103. Epub 2019 Oct 14.
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CO retention: The key to stopping hiccups.二氧化碳潴留:制止打嗝的关键。
Clin Respir J. 2018 Aug;12(8):2340-2345. doi: 10.1111/crj.12910.
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