经颏下入路气管插管后术中支气管内插管。
Intraoperative Endobronchial Intubation After Successful Submental Intubation.
出版信息
Anesth Prog. 2024 Sep 9;71(3):136-139. doi: 10.2344/973799.
Abstract
In complex maxillofacial fractures in which orotracheal and nasotracheal intubation are otherwise contraindicated, alternatives for airway management include tracheostomy and submental intubation (SMI). In this case, SMI was used successfully, although it did result in accidental endobronchial intubation intraoperatively that was quickly recognized and managed appropriately. SMI can be a useful method for securing a patient's airway, but like all surgical approaches, it does carry the potential for complications. We report a case involving the use of SMI during which an unintended endobronchial intubation occurred.
摘要
在复杂的颌面骨折中，经口和经鼻插管均被禁忌时，气道管理的替代方法包括气管切开术和颏下插管（SMI）。在这种情况下，SMI 成功地被使用了，尽管它确实导致了术中意外的支气管内插管，这很快被识别并得到了适当的处理。SMI 可以是一种安全患者气道的有用方法，但与所有手术方法一样，它确实存在潜在的并发症。我们报告了一例在 SMI 期间发生意外支气管内插管的病例。
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本文引用的文献
1
Thirty years of submental intubation: a review.
Int J Oral Maxillofac Surg. 2018 Sep;47(9):1161-1165. doi: 10.1016/j.ijom.2018.04.015. Epub 2018 May 3.
2
Airway management using submental intubation in head and neck surgery.头颈部手术中使用颏下插管的气道管理。
Folia Med Cracov. 2016;56(3):79-85.
3
Submental intubation in maxillofacial fracture: a case report.颏下插管在颌面骨折中的应用：一例报告
J Korean Assoc Oral Maxillofac Surg. 2016 Jun;42(3):166-8. doi: 10.5125/jkaoms.2016.42.3.166. Epub 2016 Jun 27.
4
Facing the airway challenges in maxillofacial trauma: A retrospective review of 288 cases at a level i trauma center.直面颌面部创伤中的气道挑战：对一级创伤中心288例病例的回顾性研究
Anesth Essays Res. 2015 Jan-Apr;9(1):44-50. doi: 10.4103/0259-1162.150142.
5
Submental/Transmylohyoid route for endotracheal intubation in maxillofacial surgical procedures: a review.颌面外科手术中经颏下/经下颌舌骨肌途径气管插管的综述
J Int Oral Health. 2014 Jun;6(3):125-8. Epub 2014 Jun 26.
6
Submental intubation in maxillofacial trauma patients.颌面部创伤患者的颏下插管
Iran J Otorhinolaryngol. 2013 Winter;25(70):17-22.
7
Submental intubation: a literature review.颏下插管：文献回顾。
Int J Oral Maxillofac Surg. 2012 Jan;41(1):46-54. doi: 10.1016/j.ijom.2011.08.002. Epub 2011 Sep 17.
8
Submandibular approach for tracheal intubation - a case report.经下颌下入路气管插管——一例报告
Indian J Anaesth. 2009 Feb;53(1):84-7.
9
Submental intubation versus tracheostomy in maxillofacial trauma patients.颌面部创伤患者的颏下插管与气管切开术对比
J Oral Maxillofac Surg. 2008 Jul;66(7):1404-9. doi: 10.1016/j.joms.2007.12.027.
10
Indication for and technical refinements of submental intubation in oral and maxillofacial surgery.口腔颌面外科颏下插管的适应证及技术改进
J Craniomaxillofac Surg. 2003 Dec;31(6):383-8. doi: 10.1016/j.jcms.2003.07.005.
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