清醒光纤插管:困难气道的首选——附两例报告

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
T. Prasad, C. Kumar, Abinaya Devi, SVijay Narayanan
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引用次数: 0

摘要

在21世纪,我们可能有很多设备,可以用来保护那些被预测患有气道困难的患者的气道。有许多关于困难气道的研究,并提出了各种设备,如柔性光纤镜、视频喉镜和专用插管喉罩气道,他们最终得出了一种设备比另一种更好的结论。此外,ET插管需要持续的实践,并且会带来一系列并发症。在世界各地发表的分析中,气管插管的技术问题一直是导致麻醉剂死亡的最常见原因。麻醉师的基本职责是通过适当的设备确保气道通畅,从而保持患者充分的气体交换。纤维支气管镜检查和插管的优点是更容易,插管时间更短,在整个过程中持续进行氧合和通气,尤其是在儿童的情况下。我们报告了两个这样的案例,其中“唤醒柔性光纤引导插管”被认为是唯一可取的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Awake fiberoptic intubation: The first mandatory choice of difficult airway – A report of two cases
We may have many devices in this 21st century, which can be used to secure the airway in patients who have been predicted to have a difficult airway. There are many studies about difficult airways and suggested various devices such as flexible fiberoptic scope, video laryngoscope, and the specialized intubating laryngeal mask airway and they ended up concluding one device better than another. Furthermore, ET intubation requires continued practice and carries with it its own set of complications. Technical problems with the placement of endotracheal tubes have been the most frequent cause of anesthetic deaths in published analyses from all over the world. The basic responsibility of an anesthesiologist is to maintain adequate gas exchange in patients by securing a patent airway through a proper device. Fiberoptic bronchoscopy and intubation have the advantage of being easier, with shorter intubation time and continuous oxygenation and ventilation throughout the procedure, especially in the case of children. We report two such cases, where “Awake flexible fiberoptic-guided intubation” was considered the only desirable choice.
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来源期刊
Indian Journal of Medical Specialities
Indian Journal of Medical Specialities MEDICINE, GENERAL & INTERNAL-
自引率
16.70%
发文量
51
期刊介绍: The Indian Journal of Medical Specialities is an all-encompassing peer-reviewed quarterly journal. The journal publishes scholarly articles, reviews, case reports and original research papers from medical specialities specially pertaining to clinical patterns and epidemiological profile of diseases. An important highlight is the emphasis on undergraduate and postgraduate medical education including various aspects of scientific paper-writing. The journal gives priority to research originating from the developing world, including from the tropical regions of the world. The journal also publishes special issues on health topics of current interest. The Indian Journal of Medical Specialities is one of the very few quality multispeciality scientific medical journals.
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