在街头创伤中使用视频喉镜为俯卧位患者插管

Daniele Speciale, Alberto Pagnamenta, Filippo Tami, Paolo Maino, Sabrina Bettoni
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摘要

由于剧烈疼痛而无法将受害者释放或救出的俯卧位重大道路创伤十分罕见。我们介绍了一例年轻患者的病例,他的右下肢以俯卧姿势被固定在一辆推土机上。由于无法在短时间内将其救出,加上剧烈的疼痛对大剂量镇痛剂毫无反应,我们只能在俯卧位使用视频喉镜进行诱导和插管。这一操作的成功使我们能够在短时间内将病人救出,并在下肢恢复方面取得了极佳的效果。
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Intubation of a Patient in Prone Position with the Videolaryngoscope in a Street Trauma
Major road trauma in the prone position, when the victim cannot be released or retrieved due to intense pain, is a rare event. We present a case of a young patient who was incarcerated with his right lower limb in the prone position in a bulldozer. The impossibility of being able to extract him in a short time and the very intense pain, not responsive to high doses of analgesics, led us to perform an induction and intubation in the prone position with video laryngoscope. The success of the maneuver allowed us to release the patient in a short time with excellent outcome in terms of recovery of the lower limb
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