{"title":"纤维支气管镜引导下俯卧位气管插管治疗胸椎刺伤1例。","authors":"Jianwei Zhou, Kailai Zhu, Chuanguang Wang, Ye Zhu","doi":"10.1186/s13256-025-05354-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Position changes in patients with thoracic spinal stab wounds may cause displacement of embedded sharp objects, increasing the risk of spinal cord or surrounding tissue injury. Management of these cases under anesthesia requires a carefully planned approach to minimize movement and ensure patient safety.</p><p><strong>Case presentation: </strong>A 59-year-old Han Chinese male was admitted to the hospital due to \"back pain and bleeding caused by stab wounds for 2 hours.\" The patient was at high risk of secondary spinal cord injury and aspiration due to an embedded foreign object and a full stomach state. Fiberoptic bronchoscopy-guided endotracheal intubation was successfully performed in the prone position under mild sedation.</p><p><strong>Conclusion: </strong>This case highlights the feasibility and safety of awake fiberoptic bronchoscopy-guided intubation in the prone position and provides valuable insights for managing similar high-risk scenarios in clinical practice.</p>","PeriodicalId":16236,"journal":{"name":"Journal of Medical Case Reports","volume":"19 1","pages":"294"},"PeriodicalIF":0.9000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210422/pdf/","citationCount":"0","resultStr":"{\"title\":\"Fiberoptic bronchoscopy-guided endotracheal intubation in prone position for a patient with a thoracic spinal stab wound: a case report.\",\"authors\":\"Jianwei Zhou, Kailai Zhu, Chuanguang Wang, Ye Zhu\",\"doi\":\"10.1186/s13256-025-05354-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Position changes in patients with thoracic spinal stab wounds may cause displacement of embedded sharp objects, increasing the risk of spinal cord or surrounding tissue injury. Management of these cases under anesthesia requires a carefully planned approach to minimize movement and ensure patient safety.</p><p><strong>Case presentation: </strong>A 59-year-old Han Chinese male was admitted to the hospital due to \\\"back pain and bleeding caused by stab wounds for 2 hours.\\\" The patient was at high risk of secondary spinal cord injury and aspiration due to an embedded foreign object and a full stomach state. Fiberoptic bronchoscopy-guided endotracheal intubation was successfully performed in the prone position under mild sedation.</p><p><strong>Conclusion: </strong>This case highlights the feasibility and safety of awake fiberoptic bronchoscopy-guided intubation in the prone position and provides valuable insights for managing similar high-risk scenarios in clinical practice.</p>\",\"PeriodicalId\":16236,\"journal\":{\"name\":\"Journal of Medical Case Reports\",\"volume\":\"19 1\",\"pages\":\"294\"},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210422/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medical Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s13256-025-05354-4\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s13256-025-05354-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Fiberoptic bronchoscopy-guided endotracheal intubation in prone position for a patient with a thoracic spinal stab wound: a case report.
Background: Position changes in patients with thoracic spinal stab wounds may cause displacement of embedded sharp objects, increasing the risk of spinal cord or surrounding tissue injury. Management of these cases under anesthesia requires a carefully planned approach to minimize movement and ensure patient safety.
Case presentation: A 59-year-old Han Chinese male was admitted to the hospital due to "back pain and bleeding caused by stab wounds for 2 hours." The patient was at high risk of secondary spinal cord injury and aspiration due to an embedded foreign object and a full stomach state. Fiberoptic bronchoscopy-guided endotracheal intubation was successfully performed in the prone position under mild sedation.
Conclusion: This case highlights the feasibility and safety of awake fiberoptic bronchoscopy-guided intubation in the prone position and provides valuable insights for managing similar high-risk scenarios in clinical practice.
期刊介绍：
JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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