由于忧虑,气道困难变得更糟:一名患有COVID - 19的肥胖年轻男性

Ishan N Perera
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引用次数: 0

摘要

急诊科的危重病人插管一直被认为是一个困难的气道。时机,患者因素未优化,插管次数少。再加上Covid - 19大流行的并发症和需求,这使得急救插管成为一件危及人身安全的事情,以及成功完成插管而没有并发症。如果患者有导致气道困难的内在合并症,则手术会更糟糕。此外,新冠肺炎在预充氧、插管时机、患者通气和运输方面也存在挑战。这是我在斯里兰卡第三波covid - 19大流行期间遇到的一位病人,当时我在急诊科上夜班。他出现急性呼吸窘迫,需要插管和通气。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A difficult airway made worse by apprehension: an obese young male with COVID 19
Intubation of a critically ill patient in the emergency department is always considered a difficult airway. Timing, patient factors which are not optimized, and intubation done by infrequent intubators. Add to this the complications and demands of Covid 19 pandemic which make crash intubations a thing feared for personal safety as well as successful completion of intubation without complications. If the patient has intrinsic comorbid conditions contributing to a difficult airway, worse the procedure would be. Furthermore, Covid pneumonia presents its own challenges in preoxygenation, timing of the intubation, ventilation of the patient and transport as well. This is a patient I came across during the third wave of covid19 pandemic in Sri Lanka, working in the Emergency department night shift. He came in acute respiratory distress and required intubation and ventilation.
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