椎间盘切除术和前宫颈融合后咽喉脱位的麻醉管理

IF 0.8 Q3 ANESTHESIOLOGY

Revista Espanola de Anestesiologia y Reanimacion Pub Date : 2025-03-17 DOI:10.1016/j.redar.2025.501801

C. Beltrán Piles, B. Monleón, R. Badenes, D. Tabares, P. Capilla

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引用次数: 0

摘要

前路颈椎椎间盘切除术和融合术（ACDF）是一种常见的外科手术，具有积极的结果，但对患者来说并非没有潜在的严重并发症。我们提出的情况下，患者接受ACDF，并发现有一个宫颈肿胀之前拔管。在与耳鼻喉科小组联合评估后，怀疑喉结构脱位。在神经肌肉放松之前进行手动重新定位，由于患者继发于水肿的上气道阻塞的高风险，患者被转移到恢复病房。在预定的皮质类固醇治疗下监测24小时后，在耳鼻喉科小组的见证下进行了计划和安全的拔管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Manejo anestésico de la dislocación laríngea tras discectomía y fusión cervical anterior

Anterior cervical discectomy and fusion (ACDF) is a common surgical procedure with positive outcomes, but it is not without potentially serious complications for the patient.

We present the case of a patient who underwent ACDF and was found to have a cervical swelling prior to extubation. After a joint evaluation with the otolaryngology team, a suspicion of laryngeal structure dislocation was raised. A manual repositioning was performed prior to neuromuscular relaxation, and the patient was transferred intubated to the Recovery Unit due to a high risk of upper airway obstruction secondary to edema.

After 24 hours of monitoring under scheduled corticosteroid treatment, a planned and safe extubation was carried out, witnessed by the otolaryngology team.

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