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相關文獻
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頁籤選單縮合
題名 | Simultaneous Transtracheal Ventilation and Retrograde Tracheal Intubation in a Cannot Intubate-Cannot Ventilate Situation=病患遭遇無法換氣及無法插管時,同步實施氣管穿刺以及逆向插管 |
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作者姓名(中文) | 簡冠雄; 陳在昕; 洪維德; 廖信明; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 13:2 2012.12[民101.12] |
頁次 | 頁97-102 |
分類號 | 416.215 |
關鍵詞 | 環甲膜穿刺; 逆向插管; 困難插管; Cricothyroidotomy; Retrograde intubation; Difficult intubation; |
語文 | 英文(English) |
中文摘要 | 個案報告:一位喉癌復發患者因為呼吸短促住院,但是他拒做氣切手術並持續接受非侵入性治療,然入院後第 15天時,因急性呼吸道阻塞而失去意識,面罩式換氣以及口鼻呼吸管路均無法提供適當換氣,考量到病患之前拒行氣管切開手術,當時又無家屬在旁可決定氣切,因此我們先執行了環甲膜穿刺術,暫時的維持了他的血氧飽和度,並透過另一環甲膜穿刺完成了逆向插管。 討論:當病患遭遇無法換氣及無法插管時,對於麻醉醫師來說是最具壓力的緊急狀況,腦部缺氧以及心跳驟停是可能的合併症,尤其是當病患之前拒絕氣管切開術時,此時即時的實施環甲膜穿刺術將會是救命的重要步驟,本篇文章就此項技術作一說明,並同步實施了逆向插管的技術,這應該是這一類病患可以參考的作法。 |
英文摘要 | A case of recurrent laryngeal cancer where the patient was in a cannot-intubate, cannot-ventilate (CICV) situation, and refused to have a tracheotomy despite a doctor’s recommendation. No family members were available at that moment to give consent for a tracheostomy. We performed a temporizing measure to achieve emergency ventilation and a second cricothyroidotomy for retrograde intubation. Retrograde intubation is not one of standard method for securing an airway. However, when the airway could not be secured and emergent tracheostomy was not available, this method was considered as a “last resort” option. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。