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语言桃体缩的气道管理:一个叙事审查
Patrick Wong1, Jamie W Sleigh2
1Department of Anaesthesia and Pain Medicine, Te Whatu Ora Health New Zealand Waikato, Hamilton, New Zealand.
Anaesthesia and intensive care
|November 25, 2023
概括
语言桃体缩会导致意外的呼吸道困难和麻醉期间的严重并发症. 早期干预和明确的呼吸道策略,包括严重病例的清醒输管,对于患者的安全至关重要.
科学领域:
- 麻醉学 麻醉学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在常规的气道评估中很少识别语言桃体缩.
- 它给空气道管理带来了重大挑战.
研究的目的:
- 审查语言桃体缩的病例报告.
- 分析患者因素,呼吸道管理技术和并发症率.
- 为这些患者提供麻醉策略的信息.
主要方法:
- 对已发表的案例报告进行了叙事审查.
- 搜索了语言桃体缩的麻醉管理的文献.
- 分析了来自89名患者的92例病例的数据.
主要成果:
- 64%的病例有正常的气道评估.
- 难以/不可能的口罩通风发生在31%的病例中.
- 难以/失败的输管发生在89.1%/21.7%的病例中,分别.
- 16.5%的患者被唤醒;4.3%需要紧急部前部接入.
- 这些并发症包括食道输管 (10.9%),出血 (9.8%) 和缺氧 (3.2%).
结论:
- 严重的语言桃体缩呈现出意想不到的呼吸道困难.
- 潜在的严重并发症,包括缺氧脑损伤和死亡.
- 建议限制喉镜试验,并尽早考虑部前部接入.
- 对于已知严重的语言桃体缩的患者,建议进行醒觉输管.
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