盲指口气管插管治疗两只声门显像困难的狗。

IF 1.9 2区 农林科学 Q2 VETERINARY SCIENCES
Hyunseok Kim, Won-Gyun Son, Inhyung Lee
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引用次数: 0

摘要

本报告描述了两个案例,其中盲数字插管技术被成功地用于管理困难的气道。1例9岁4.9公斤阉割雄性贵宾犬,有咳嗽和下颌下皮下肿块病史;1例13岁5.7公斤阉割雄性贵宾犬,有呼吸困难和喘声。在这两只狗中,在麻醉诱导后发现了一个阻塞声门的肿块,使得使用喉镜无法看到气道。面罩补充氧气无效,在多次尝试保护气道时低氧血症恶化。为了方便手指插管,将操作者的非优势食指引入口腔,将肿块移位至会厌并触诊声门。然后在数字引导下将气管内管插入气管,成功地固定了两只狗的气道。数字辅助插管尚未在小动物实践中详细描述或研究,尽管该技术在大型动物物种和人类医学中进行。由于数字触诊提供了关键结构的触觉感知,当直接可视化模糊且内窥镜设备不容易获得时,盲式数字插管可以成为方便狗插管的一种有价值的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Blind digital orotracheal intubation in two dogs with difficult glottis visualization.

This report describes two cases of dogs in which a blind digital intubation technique was successfully used to manage difficult airways. A 9-year-old, 4.9 kg castrated male Poodle dog with history of cough and submandibular subcutaneous mass and a 13-year-old, 5.7 kg castrated male Poodle dog with dyspnoea and stridor were referred for computed tomography. In both dogs, a mass obstructing the glottis was identified following induction of anaesthesia, rendering it impossible to visualize the airway with laryngoscope use. Oxygen supplementation by face mask was ineffective and hypoxaemia worsened during repeated attempts to secure the airway. To facilitate digital intubation, the operator's nondominant index finger was introduced into the mouth, displacing the mass to access the epiglottis and palpate the glottis. The endotracheal tube was then inserted into the trachea with digital guidance, resulting in successfully secured airways in both dogs. Digitally facilitated intubation has not been described in detail or studied in small animal practice, although the technique is performed in larger animal species and in human medicine. As digital palpation provides tactile perception of key structures, blind digital intubation can be a valuable approach to facilitate intubation in dogs when direct visualization is obscured and endoscopy equipment not readily available.

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来源期刊
Veterinary anaesthesia and analgesia
Veterinary anaesthesia and analgesia 农林科学-兽医学
CiteScore
3.10
自引率
17.60%
发文量
91
审稿时长
97 days
期刊介绍: Veterinary Anaesthesia and Analgesia is the official journal of the Association of Veterinary Anaesthetists, the American College of Veterinary Anesthesia and Analgesia and the European College of Veterinary Anaesthesia and Analgesia. Its purpose is the publication of original, peer reviewed articles covering all branches of anaesthesia and the relief of pain in animals. Articles concerned with the following subjects related to anaesthesia and analgesia are also welcome: the basic sciences; pathophysiology of disease as it relates to anaesthetic management equipment intensive care chemical restraint of animals including laboratory animals, wildlife and exotic animals welfare issues associated with pain and distress education in veterinary anaesthesia and analgesia. Review articles, special articles, and historical notes will also be published, along with editorials, case reports in the form of letters to the editor, and book reviews. There is also an active correspondence section.
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