超声引导下的舌咽神经阻滞用于预测气道困难患者的清醒插管:1例报告。

IF 0.5

A&A Practice Pub Date : 2023-05-09 eCollection Date: 2023-05-01 DOI:10.1213/XAA.0000000000001682

Nozomi Wada, Akiko Furutani, Joho Tokumine, Harumasa Nakazawa, Keisuke Shimazu, Tomoko Yorozu

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引用次数: 1

摘要

周围神经阻滞可用于提高患者对清醒插管的耐受性。在清醒插管时，舌咽神经、喉上神经和喉返神经可介导不适、疼痛、咳嗽、声门关闭和呕吐反射。我们描述了超声引导下喉上、喉返和舌咽神经阻滞的使用，以促进气道困难患者的清醒插管。经咽旁间隙入路对远端舌咽神经行舌咽神经阻滞。这一过程导致了一个平稳的清醒插管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report.

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Ultrasound-Guided Glossopharyngeal Nerve Block for an Awake Intubation in a Patient Predicted to Have a Difficult Airway: A Case Report.

A peripheral nerve block may be used to improve patient tolerance of awake intubation. During an awake intubation, the glossopharyngeal, superior laryngeal, and recurrent laryngeal nerves can mediate discomfort, pain, cough, glottic closure, and gag reflexes. We describe the use of ultrasound-guided superior laryngeal, recurrent laryngeal, and glossopharyngeal nerve blocks to facilitate awake intubation in a patient predicted to have a difficult airway. The glossopharyngeal nerve block was performed via the parapharyngeal space approach targeting the distal glossopharyngeal nerve. This procedure resulted in an uneventful awake intubation.

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来源期刊

A&A Practice ANESTHESIOLOGY-

自引率

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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.