Airtraq作为紧急剖宫产术中脊柱后凸和身材矮小患者气道管理的替代设备- 1例报告

IF 0.2 Q4 ANESTHESIOLOGY
K. Narayanan, Geeta Bhandari, A. Nautiyal, Abha Tiwari
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引用次数: 0

摘要

后凸性脊柱侧凸是一种脊柱异常,表现为前屈(后凸)和侧弯(脊柱侧凸),其病因可能是多因素的。一个24岁的初产妇,身材矮小,严重胸腰椎后凸侧凸,由于分娩不进展,胎儿窘迫,被安排紧急剖宫产。在脊柱和常规喉镜检查失败后,患者使用光学Airtraq (Prodol Meditec s.a., vizcaa, Spain)喉镜插管并进行手术。麻醉师的主要目的是执行安全和熟练的麻醉管理,以尽量减少对母亲和婴儿的风险。后凸加剧了已经受损的心肺状态,由于怀孕。肺损伤的严重程度取决于柯布角的程度。没有一种麻醉技术被认为是完美的,因为每种技术都有自己的优点和缺点。由于产妇偏好或产妇心肺疾病或与区域阻滞相关的技术困难,可能需要全麻。Airtraq可以作为气道管理的另一种选择,因为它提供了在颈部中立位置的声门的直接视图。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Airtraq as an alternative device for airway management for emergency cesarean section in a parturient with kyphoscoliosis and short stature – A case report
Kyphoscoliosis is a spine abnormality identified by anterior flexion (kyphosis) and lateral curvature (scoliosis) and its causes can be multifactorial. A 24-year-old primigravida with short stature and severe thoracolumbar kyphoscoliosis was scheduled for emergency cesarean section due to non-progression of labor with fetal distress. After failed spinal and unsuccessful conventional laryngoscopy, the patient was intubated using an optical Airtraq (Prodol Meditec S.A., Vizcaya, Spain) laryngoscope and operated. The main purpose of an anesthesiologist is to perform safe and skilled anesthetic management to minimize risk to mother and baby. Kyphoscoliosis exacerbates an already compromised cardiopulmonary status due to pregnancy. The severity of pulmonary impairment depends upon the degree of Cobb's angle. None of the anesthetic techniques is said to be perfect as each technique has its own merits and demerits. General anesthesia may be indicated because of maternal preference or maternal cardiopulmonary disease or technical difficulties related to the regional block. Airtraq can be an alternative option for airway management as it provides a direct view of the glottis in a neutral neck position.
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29 weeks
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