用克氏针作为导管导管治疗新生儿气道困难一例报告。

IF 0.5 A&A Practice Pub Date : 2023-04-11 eCollection Date: 2023-04-01 DOI:10.1213/XAA.0000000000001679

Luciana B Lopes, José P Afonso, Maria J Tarroso, Helder J Cardoso

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引用次数: 0

摘要

我们报告了一名极低出生体重新生儿(700 g)气道困难的成功管理，使用克氏针代替气管内导管。几次插管尝试都不成功，因为很难在会厌下引导一个非常小的延展性管。本研究强调，每个妇产医院应准备管理呼吸道意外极低出生体重的新生儿。适当大小的设备和规程应随时可用。

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Using a Kirschner Wire as a Stylet for the Management of a Difficult Neonatal Airway: A Case Report.

We report the successful management of a difficult airway in an extremely low birth weight neonate (700 g) using a Kirschner wire as a substitute for an endotracheal tube stylet. Several intubation attempts were unsuccessful because of the difficulty in guiding a very small and malleable tube under the epiglottis. This study highlights that every maternity hospital should be prepared to manage airways in unexpected extremely low birth weight neonates. Appropriate size equipment and protocols should be readily available.

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A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.