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插管失败与紧急经皮气管切开术

Failed intubation and emergency percutaneous tracheostomy.

作者信息

Dob D P, McLure H A, Soni N

机构信息

Magill Department of Anaesthesia, Chelsea & Westminster Hospital, London, UK.

出版信息

Anaesthesia. 1998 Jan;53(1):72-4. doi: 10.1111/j.1365-2044.1998.00253.x.

DOI:10.1111/j.1365-2044.1998.00253.x
PMID:9505746
Abstract

Failed intubation associated with difficulty with ventilation is rare. Cricothyrotomy may provide a means of oxygenating the patient, but in practice it may be difficult to perform and does not establish a definitive airway. We report two patients in whom percutaneous tracheostomy was used as an emergency procedure. In both cases placement was extremely rapid and salvaged the situation, leaving a definitive airway.

摘要

与通气困难相关的插管失败很少见。环甲膜切开术可能为患者提供一种氧合方式,但在实际操作中可能难以实施,且不能建立确定性气道。我们报告了两名将经皮气管切开术作为紧急手术的患者。在这两个病例中,置管极其迅速,挽救了局面,建立了确定性气道。

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