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俯卧位视频喉镜用于成功插管治疗穿透性背部损伤：两例报告

Prone Position Video Laryngoscopy for the Successful Intubation of Penetrating Back Injury: A Report of Two Cases.

作者信息

Jain Nisha, Kulshrestha Aayush, Kaur Navdeep, Singh Abhishek

机构信息

Anesthesiology, All India Institute of Medical Sciences, New Delhi, IND.

出版信息

Cureus. 2024 Dec 21;16(12):e76119. doi: 10.7759/cureus.76119. eCollection 2024 Dec.

DOI:10.7759/cureus.76119
PMID:39840164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11745836/
Abstract

Airway management in the prone position presents significant challenges and carries the risk of encountering a difficult airway situation. Here, we present two adults who sustained traumatic knife injuries to the back and required surgical intervention. Due to the potential life-threatening complications associated with dislodging the knife, traditional supine and lateral decubitus positions were not feasible for airway management. To overcome this obstacle, we employed a video laryngoscope for intubation in the prone position. We discuss the challenges of airway management in such cases, the decision-making process behind choosing the prone position, and the outcomes of this novel approach in facilitating successful intubation.

摘要

俯卧位气道管理面临重大挑战，且存在遭遇困难气道情况的风险。在此，我们介绍两名背部遭受刀伤并需要手术干预的成年患者。由于拔出刀具可能会带来危及生命的并发症，传统的仰卧位和侧卧位对于气道管理并不可行。为克服这一障碍，我们采用视频喉镜在俯卧位进行插管。我们讨论了此类病例气道管理的挑战、选择俯卧位背后的决策过程以及这种新方法在促进成功插管方面的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/613ddb3357b2/cureus-0016-00000076119-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/e89b790a525f/cureus-0016-00000076119-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/188e798af9a5/cureus-0016-00000076119-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/a49c0f943668/cureus-0016-00000076119-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/9bc17061852a/cureus-0016-00000076119-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/f6412fa495fe/cureus-0016-00000076119-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/60f1b58d430f/cureus-0016-00000076119-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/613ddb3357b2/cureus-0016-00000076119-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/e89b790a525f/cureus-0016-00000076119-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/188e798af9a5/cureus-0016-00000076119-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/a49c0f943668/cureus-0016-00000076119-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/9bc17061852a/cureus-0016-00000076119-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/f6412fa495fe/cureus-0016-00000076119-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/60f1b58d430f/cureus-0016-00000076119-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb43/11745836/613ddb3357b2/cureus-0016-00000076119-i07.jpg

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本文引用的文献

1
Intubation in prone position using AirTraq Avant videolaryngoscope.使用AirTraq Avant可视喉镜在俯卧位进行气管插管。
J Clin Monit Comput. 2019 Feb;33(1):173-174. doi: 10.1007/s10877-018-0128-1. Epub 2018 Mar 19.
2
Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation: a Cochrane Systematic Review.视频喉镜与直接喉镜用于成人气管插管：Cochrane 系统评价。
Br J Anaesth. 2017 Sep 1;119(3):369-383. doi: 10.1093/bja/aex228.
3
Direct withdrawal of a knife lodged in the thoracic spinal canal in a patient with normal neurologic examination: is it safe?
在神经系统检查正常的患者中直接取出刺入胸段椎管的刀：安全吗？
Spinal Cord Ser Cases. 2016 Jul 7;2:16009. doi: 10.1038/scsandc.2016.9. eCollection 2016.
4
Routine intubation in the prone position.常规俯卧位插管。
Ups J Med Sci. 2012 Nov;117(4):411-4. doi: 10.3109/03009734.2012.686125. Epub 2012 May 10.
5
Tracheal intubation in the prone position with an intubating laryngeal mask airway following posterior spine impaled knife injury.后脊柱刀刺伤后采用插管型喉罩气道在俯卧位下行气管插管。
Saudi J Anaesth. 2011 Jul;5(3):329-31. doi: 10.4103/1658-354X.84114.
6
Brief review: Airway rescue with insertion of laryngeal mask airway devices with patients in the prone position.简要回顾：在患者俯卧位时使用喉罩气道装置进行气道抢救。
Can J Anaesth. 2010 Nov;57(11):1014-20. doi: 10.1007/s12630-010-9378-1. Epub 2010 Sep 2.
7
Direct laryngoscopy and endotracheal intubation in the prone position following traumatic thoracic spine injury.创伤性胸椎损伤后俯卧位直接喉镜检查及气管插管
J Anesth. 2008;22(2):170-2. doi: 10.1007/s00540-007-0596-9. Epub 2008 May 25.