关键词: ENT airway management airway stenosis tracheostomy

来  源:   DOI:10.1002/anr3.12281   PDF(Pubmed)

Abstract:
The presentation of acute and rapidly deteriorating airway pathology can be a highly challenging situation for any hospital team. Cricoid chondromas are a challenging and potentially unfamiliar airway pathology requiring the combined expertise of anaesthetists, ear, nose and throat surgeons and a wider peri-operative team familiar with managing airway emergencies. Airway lesions which cause rigid and fixed stenosis require careful management and present additional challenges compared to soft tissue lesions. An important consideration in fixed airway stenosis is the external diameter of tracheal tubes compared to the diameter of the airway at its narrowest point. These are challenging cases to manage and a multi-disciplinary approach to the safe management of unfamiliar and critical airway pathology should be adopted.
摘要:
对于任何医院团队来说,急性和迅速恶化的气道病理的表现可能是极具挑战性的情况。环状软骨瘤是一种具有挑战性且可能不熟悉的气道病理学,需要麻醉师的综合专业知识。耳朵,鼻子和喉咙外科医生和一个更广泛的围手术团队熟悉管理气道紧急情况。导致刚性和固定狭窄的气道病变需要仔细处理,并且与软组织病变相比存在额外的挑战。固定气道狭窄中的重要考虑因素是气管导管的外径与其最窄点处的气道直径相比。这些是具有挑战性的病例,应采用多学科方法来安全管理不熟悉和关键的气道病理。
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