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丢失的鼻咽气道:一个值得深思的警示事件?

The Lost Nasopharyngeal Airway: A Sentinel Event to Ponder?

作者信息

Mudaraddi Rajashekar R, Bodhey Abhay Kuber, Masood Naved Ahmed, Greiss Hany Fawzi, Al Ani Osama Sami Maki, Maarouf Mahmoud Younes

机构信息

Anesthesia, Rashid Hospital and Trauma Centre, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Health, Dubai, ARE.

出版信息

Cureus. 2024 Nov 13;16(11):e73606. doi: 10.7759/cureus.73606. eCollection 2024 Nov.

DOI:10.7759/cureus.73606
PMID:39677256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11640953/
Abstract

Aspiration of the nasopharyngeal airway (NPA) is one of the rarest and life-threatening complications. In the literature, very few cases have been reported. The advent of NPA to protect the airway in semiconscious patients acts like a double-edged sword, based on the patient's condition. The patient factor plays a crucial role. Here, we are reporting a case of aspirated NPA due to the patient's poor gag reflex and human factors at the workplace. The incidence can be minimized if proper handover and documentation by caring personnel are done, which will help reduce the risk of aspiration.

摘要

鼻咽气道(NPA)误吸是最罕见且危及生命的并发症之一。在文献中,报道的病例极少。基于患者的病情,NPA用于保护半清醒患者气道这一情况就像一把双刃剑。患者因素起着关键作用。在此,我们报告一例因患者咽反射差及工作场所的人为因素导致的NPA误吸病例。如果护理人员进行适当的交接和记录,可将发生率降至最低,这将有助于降低误吸风险。

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1
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本文引用的文献

1
Nasopharyngeal Airway in the Trachea: A Case Report.气管内鼻咽气道:一例报告
Cureus. 2024 May 12;16(5):e60149. doi: 10.7759/cureus.60149. eCollection 2024 May.
2
Nasopharyngeal airway aspiration: An uncommon cause of sudden respiratory distress in hospitalized patients.鼻咽气道抽吸:住院患者突发呼吸窘迫的罕见原因。
Turk J Emerg Med. 2018 Apr 17;18(2):78-79. doi: 10.1016/j.tjem.2018.03.004. eCollection 2018 Jun.
3
Prevention of aspiration of nasopharyngeal airway.预防鼻咽气道误吸。
Indian J Anaesth. 2010 Jan;54(1):74. doi: 10.4103/0019-5049.60511.
4
Prevention of aspiration of nasopharyngeal airway.预防鼻咽气道误吸。
Anesth Analg. 2007 May;104(5):1313. doi: 10.1213/01.ane.0000260462.74198.68.
5
Airway obstruction caused by nasal airway.鼻气道引起的气道阻塞。
Anesth Analg. 2006 Aug;103(2):508-9. doi: 10.1213/01.ANE.0000227215.46156.76.
6
The modified nasal trumpet maneuver.改良鼻喇叭手法。
Anesth Analg. 2002 Feb;94(2):467-9, table of contents. doi: 10.1097/00000539-200202000-00045.
7
Aspiration of an artificial nasopharyngeal airway.人工鼻咽气道抽吸
Chest. 1988 Jan;93(1):223-4. doi: 10.1378/chest.93.1.223-b.