强直性脊柱炎患者使用喉罩气道麻醉治疗1例报告。

Q3 Medicine Anesthesia progress Pub Date : 2022-09-01 DOI:10.2344/anpr-69-02-03
Masaharu Yamada, Masataka Tamura, Yoko Nunotani, Nobumasa Minami, Kikuo Fuji
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引用次数: 0

摘要

强直性脊柱炎(AS)是慢性脊柱炎的一种,显著增加了患者颈椎骨折的风险。我们描述了一个32岁的男性AS谁被安排在全身麻醉下进行双侧下颌第三磨牙拔牙的麻醉管理。为了尽量减少颈椎损伤的可能性,手术中使用喉罩气道进行气道管理,同时牢牢握住患者的头部。此外,他发生了术后手术感染,这是由于他继续使用英夫利昔单抗进行免疫治疗。对于AS患者,术后感染控制以及围手术期的颈椎保护是很重要的。
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Anesthetic Management Using a Laryngeal Mask Airway for a Patient With Ankylosing Spondylitis: A Case Report.

Ankylosing spondylitis (AS), a type of chronic spondyloarthritis, significantly increases patients' risk of cervical spine fracture. We describe the anesthetic management of a 32-year-old male with AS who was scheduled to have bilateral mandibular third molar extractions under general anesthesia. To minimize the potential for cervical spine damage, a laryngeal mask airway was used for airway management while the patient's head was held firmly during surgery. Additionally, he developed a postoperative surgical infection that was attributed to his continued immunotherapy with infliximab. In patients with AS, postoperative infection control as well as cervical spine protection throughout the perioperative period is important.

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来源期刊
Anesthesia progress
Anesthesia progress Medicine-Medicine (all)
CiteScore
0.90
自引率
0.00%
发文量
32
期刊介绍: Anesthesia Progress is a peer-reviewed journal and the official publication of the American Dental Society of Anesthesiology. The journal is dedicated to providing a better understanding of the advances being made in the art and science of pain and anxiety control in dentistry.
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