Jain Nisha, Kulshrestha Aayush, Kaur Navdeep, Singh Abhishek
Anesthesiology, All India Institute of Medical Sciences, New Delhi, IND.
Cureus. 2024 Dec 21;16(12):e76119. doi: 10.7759/cureus.76119. eCollection 2024 Dec.
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.
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。