全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

类风湿性关节炎致全身多关节畸形患者辅助纤支镜清醒插管1例
A Case Report of a Patient with Rheumatoid Arthritis Induced Systemic Multiarticular Malformation Assisted by Fiberoptic Bronchoscopy Guided Awake Endotracheal Intubation

DOI: 10.12677/ACM.2022.124386, PP. 2693-2696

Keywords: 类风湿性关节炎,困难气道,纤支镜引导,清醒插管
Rheumatoid Arthritis
, Difficult Airway, Bronchoscope Guidance, Awake Intubation

Full-Text   Cite this paper   Add to My Lib

Abstract:

呼吸道通畅是保障患者生命安全的前提,而各种困难气道造成的插管困难一直是临床麻醉中无法避免的难题。类风湿性关节炎作为一种较为常见的自身免疫性疾病,随着病情的发展往往会累及多个关节,对麻醉造成影响。本报道以本院近期一例需行气管插管麻醉的类风湿性关节炎致全身多关节畸形并困难气道患者为例,探讨针对重度困难气道的处理办法。
Airway patency is the premise to ensure the safety of patients, and the difficulty of intubation caused by various difficult airway has always been an unavoidable problem in clinical anesthesia. As a common autoimmune disease, rheumatoid arthritis often involves multiple joints and affects anesthesia with the development of the disease. In this report, a recent case of rheumatoid arthritis patients with systemic multiarticular malformation and difficult airway requiring endotracheal intubation and general anesthesia in our hospital was taken as an example to explore the management methods for severely difficult airway.

References

[1]  Müller, M. and Pippi-Ludwig, W. (2014) Perioperatives Management von Patienten mit rheumatoider Arthritis. Der Anaesthesist, 63, 883-896.
https://doi.org/10.1007/s00101-014-2333-8
[2]  Crosby, E.T. and Lui, A. (1990) The Adult Cervical Spine: Implications for Airway Management. Canadian Journal of Anesthesia/Journal Canadien d’Anesthésie, 37, 77-93.
https://doi.org/10.1007/BF03007488
[3]  Samanta, R., Shoukrey, K. and Griffiths, R. (2011) Rheumatoid Arthritis and Anaesthesia. Anaesthesia, 66, 1146-1159.
https://doi.org/10.1111/j.1365-2044.2011.06890.x
[4]  Gajree, S. and O’Hare, K.J. (2020) Identification of the Difficult Airway. Anaesthesia & Intensive Care Medicine, 21, 463-466.
https://doi.org/10.1016/j.mpaic.2020.06.006
[5]  Gupta, S., Sharma, R. and Jain, D. (2005) Airway Assessment: Predictors of Difficult Airway. Indian Journal of Anaesthesia, 49, 257-262.
[6]  Smirnov, I.V., Rojtberg, G.E., Tsypin, L.E., et al. (2020) Anesthesia for Surgery in a Patient with Knist’s Dysplasia for Severe Scoliotic Deformity. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 10, 299-308.
[7]  Edens, E.T. and Sia, R.L. (1981) Flexible Fiberoptic Endoscopy in Difficult Intubations. Annals of Otology, Rhinology & Laryngology, 90, 307-309.
https://doi.org/10.1177/000348948109000402
[8]  Messeter, K.H. and Pettersson, K.I. (1980) Endotracheal Intubation with the Fibre-Optic Bronchoscope. Anaesthesia, 35, 294-298.
https://doi.org/10.1111/j.1365-2044.1980.tb05100.x
[9]  张乃心, 张晓曦, 董良, 朱昭琼. 颈部瘢痕挛缩患者艾司氯胺酮和舒芬太尼辅助可视软性喉镜清醒插管一例[J]. 海南医学, 2021, 32(15): 2035-2037.
[10]  杨玉珍, 万林. 纤支镜在疑似困难气道插管中的临床应用[J]. 中国继续医学教育, 2020, 12(30): 122-125.
[11]  Fulkerson, J.S., Moore, H.M., Anderson, T.S., et al. (2017) Ultrasonography in the Preoperative Difficult Airway Assessment. Journal of Clinical Monitoring and Computing, 31, 513-530.
https://doi.org/10.1007/s10877-016-9888-7
[12]  孙强. 经鼻腔盲探气管插管术在不合作体位中的临床应用[J]. 辽宁中医药大学学报, 2007, 9(1): 116-117.
[13]  Parotto, M., Cooper, R.M. and Behringer, E.C. (2020) Extubation of the Challenging or Difficult Airway. Current Anesthesiology Reports, 10, 334-340.
https://doi.org/10.1007/s40140-020-00416-3
[14]  Membership of the Difficult Airway Society Extubation Guidelines Group (2012) Difficult Airway Society Guidelines for the Management of Tracheal Extubation. Anaesthesia, 67, 318-340.
https://doi.org/10.1111/j.1365-2044.2012.07075.x
[15]  Sorbello, M. and Frova, G. (2012) When the End Is Really the End? The Extubation in the Difficult Airway Patient. Minerva Anestesiologica, 79, 194-199.
[16]  马武华, 王勇, 钟鸣, 等. 中国医疗机构困难气道的调查与分析[J]. 临床麻醉学杂志, 2020, 36(4): 376-380.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133