摘要
目的探讨新型内镜鼻面罩在巨大胸骨后甲状腺肿所致气道梗阻患者麻醉诱导、气管插管中的安全性。方法插管过程中使用已获专利授权的新型内镜鼻面罩进行清醒,经口纤维支气管镜引导下气管插管。结果在纤维支气管镜引导直视下气管插管一次成功,插管过程中患者无氧饱和度下降、呛咳等不良反应。结论该新型内镜鼻面罩在困难气道气管插管中可提高患者安全性,有很高的临床应用价值。
Objective To evaluate the safety of a novel endoscopic nasal mask used in anesthesia induction and tracheal intubation in an airway obstructed patient with huge substernal goiter. Methods A novel endoscopic nasal mask was used in the process of awake oral fiberoptic bronchoscope-guided tracheal intubation. Results The first attempt of tracheal intubation was successful under the guidance of bronchoscope, with no oxygen saturation decrease, cough and other adverse reactions. Conlcusion The novel endoscopic nasal mask can enhance patient safety in difficult airway intubation, and has a high clinical application value.
出处
《外科研究与新技术》
2015年第4期257-259,共3页
Surgical Research and New Technique
关键词
胸骨后甲状腺
气管狭窄
面罩
气管插管
麻醉诱导
Substemal goiter
Tracheostenosis
Mask
Tacheal intubation
Anesthesia induction