梨状窦中的药丸,麻醉医师须知

Deepak Ganjigere Palaksha, Binesh Badyal, Kavita Sandhu
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引用次数: 0

摘要

一名 51 岁的男性计划接受择期手术,视频喉镜检查显示右侧梨状窦附近有异物。用马吉尔镊子取出后发现是药片的残留物。他在手术前 2 小时服用了一片泮托拉唑片,并喝了几口水。术后,他确认吞咽没有困难,下颅神经检查也正常。他确实提到需要更多的水才能吞咽手术前给的药片。我们科室的规定是允许在手术当天早上喝几口水吞咽药片。药片大小、水量和头部位置等因素确实会影响药片的吞咽。这次事件发生后,我们向患者提供了关于早晨口服药物的明确说明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pill in the pyriform sinus, What anaesthesiologists should know about it
In a 51-year-old male scheduled for elective surgery, a video laryngoscopy showed a foreign body near the right pyriform sinus. It was removed with Magill forceps and found to be remnants of the tablet. He had taken a tablet of Pantoprazole 2 hours prior to surgery with sips of water. In the postoperative period, he confirmed he had no difficulty in swallowing and his lower cranial nerve examination was normal. He did mention he needed more water to swallow the tablet given prior to surgery. Our departmental protocol has been allowing sips of water for tablets on the morning of surgery. The factors like size of the tablet, amount of water, and position of the head do affect the swallowing of a tablet. Following this incident now we provide clear instructions to our patients about morning oral medications.
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