危及生命的呼吸道阻塞和由于下下部空间感染的败血栓冲击:一个案例报告
Annalee Mora1, Alisher Hamidullah1, Sophia Samaranayake1
1Internal Medicine, HCA Healthcare/USF Morsani College of Medicine GME: Oak Hill Hospital, Brooksville, USA.
Cureus
|November 29, 2023
概括
下腔感染,口腔和部的严重细胞炎,可以导致危及生命的呼吸道损害. 及时识别和多学科护理对于管理这些侵袭性牙感染至关重要,特别是在患有并发症的患者中.
科学领域:
- 口腔和牙面部外科手术
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 下腔感染是一种罕见但具有攻击性的细胞炎,影响口腔地板和部.
- 牙感染可能因伴随疾病而升级,导致严重并发症.
- 门诊口腔手术可能会导致严重的感染.
研究的目的:
- 在门诊口腔手术后出现严重下部空间感染并发症的独特案例.
- 在这种情况下,强调及时诊断,气道管理和多学科护理的重要性.
主要方法:
- 一个74岁的男性患有严重的牙感染的病例报告.
- 利用诊断成像来评估气道的损害和胀的程度.
- 启动了新兴的鼻内输管,机械通风和广泛的抗生素.
主要成果:
- 患者在口服手术后不久就出现了即将发生的呼吸道损害和败血症休克.
- 从下下部到副腔空间的广泛胀消除了呼吸道.
- 成功的管理涉及密集护理,呼吸道支持和抗生素.
结论:
- 下腔感染,特别是在患有并发病的患者中,具有迅速恶化的显著风险.
- 早期识别症状,紧急呼吸道管理和及时的抗生素治疗至关重要.
- 多学科方法和适当的成像对于管理复杂的呼吸道情景和改善患者预后至关重要.
相关概念视频
Tonsillitis II: Management
114
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
114
Tonsillitis I: Introduction
269
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
269
Endotracheal Tube Extubation
736
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
736
Tracheostomy Suctioning I: Pre-Procedural Steps
581
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
581
Pneumothorax-II
160
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
160
Endotracheal Intubation II: Nursing Management
701
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
701


