刀架在脖子上;麻醉师面临的气道挑战:病例报告

IF 1.4 Q3 ANESTHESIOLOGY Trends in Anaesthesia and Critical Care Pub Date : 2024-10-01 DOI:10.1016/j.tacc.2024.101490
Roaa Suleiman , Ayten Saracoglu , Redouane Mecharnia , Bushra M. Abdallah , Layla J.M. Kily , Loubna Zabat , Sana Saleem , Kemal Tolga Saracoglu
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引用次数: 0

摘要

颈部穿透性损伤是一种可能危及生命的急症,会造成严重的气道困难。关于这类患者气道管理的最佳实践,目前还缺乏证据。我们旨在介绍一种多步骤气道管理方法,该方法适用于一名颈部有 3 厘米深穿透性刀伤的 36 岁患者。考虑到患者的稳定性和合作性,我们采用了视频喉镜和光纤镜联合技术来固定气道。总之,在快速序列诱导后进行 D 型刀片辅助气管插管可被视为清醒插管的一种安全替代方法,在选定的颈部贯穿伤患者中成功率很高。
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A knife to the neck; An airway challenge for the Anesthesiologist: A case report
Penetrating neck injuries are potentially life-threatening emergencies that can pose significant airway difficulties. There is a lack of evidence regarding the best practice for airway management in these patients. We aimed to describe a multistep approach to airway management in a 36-year-old patient with a 3 cm deep penetrating neck stab wound. A combined technique of videolaryngoscope and fiberoptic scope was utilized to secure the airway, considering the patient's stability and cooperation. In conclusion, D blade-assisted tracheal intubation following rapid sequence induction can be considered as a safe alternative to awake intubation with a high success rate in selected patients with penetrating neck injuries.
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来源期刊
CiteScore
1.90
自引率
13.30%
发文量
60
审稿时长
33 days
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