恶劣环境下紧急环甲环甲切开术:雷击后气道完全阻塞1例报告。

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A&A Practice Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI:10.1213/XAA.0000000000001688

Barbara Pizzi, Emiliano Petrucci, Franco Marinangeli

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引用次数: 0

摘要

雷击是电气伤害中死亡率最高的极端事件。雷击致死是由心脏骤停或呼吸骤停引起的。很少发生上呼吸道损伤，但在这些情况下，建议进行气道控制。如果经口插管不成功，应考虑紧急环甲环切开术。我们的病例报告描述了在海拔2300米的山区的恶劣环境中，对一位直接被雷击后声门上结构大面积烧伤的患者进行了紧急环甲环切开术。

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Emergency Cricothyrotomy in a Harsh Environment: A Case Report of Complete Airway Obstruction Following a Lightning Strike.

A lightning strike is an extreme event with the highest mortality rate among electrical injuries. Death from a lightning strike is caused by either cardiac arrest or respiratory arrest. It is rare for upper airway damage to occur, but in these cases, airway control is recommended. If transoral intubation is unsuccessful, an emergency cricothyrotomy should be considered. Our case report describes an emergency cricothyroidotomy performed in a harsh environment on a mountain 2300 m above sea level on a patient with extensive burns of his supraglottic structures, after being directly hit by a lightning strike.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.