鹰氏综合征患者的麻醉管理:个案研究。

Q3 Medicine
AANA journal Pub Date : 2023-08-01
Brian Supsic, Debra Minzola
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引用次数: 0

摘要

鹰氏综合征是一种以茎突延长或茎突韧带钙化为特征的疾病,可表现为一系列症状,包括吞咽困难、球感、声音嘶哑、头痛和颈部疼痛。解剖学上,这会冲击神经血管结构,扭曲下咽,使会厌和其他咽结构变硬,增加气道管理的难度。本病例研究的目的是讨论鹰氏综合征的特点和麻醉在处理条件的考虑。插管可能是具有挑战性的,并提出了滑梯镜是直接喉镜的首选工具的情况。顺利出现和拔管策略,包括利多卡因和右美托咪定的新使用,以尽量减少手术并发症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anesthetic Management of a Patient With Eagle's Syndrome: A Case Study.

Eagle's syndrome is a condition characterized by elongation of the styloid process or calcification of the styloid ligament that can manifest as a constellation of symptoms including dysphagia, globus sensation, hoarseness, headache, and neck pain. Anatomically, this can impinge neurovascular structures, distort the hypopharynx, and stiffen the epiglottis and other pharyngeal structures, increasing the difficulty of airway management. The objective of this case study was to discuss the features of Eagle's syndrome and anesthetic considerations in the management of the condition. Intubation may be challenging and presents a scenario where a glidescope is the preferred tool over direct laryngoscopy. Smooth emergence and extubation strategies, including the novel use of lidocaine and dexmedetomidine, are followed to minimize the risk of surgical complications.

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来源期刊
AANA journal
AANA journal Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
60
期刊介绍: Founded in 1931 and located in Park Ridge, Ill., the AANA is the professional organization for more than 90 percent of the nation’s nurse anesthetists. As advanced practice nurses, CRNAs administer approximately 32 million anesthetics in the United States each year. CRNAs practice in every setting where anesthesia is available and are the sole anesthesia providers in more than two-thirds of all rural hospitals. They administer every type of anesthetic, and provide care for every type of surgery or procedure, from open heart to cataract to pain management.
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