Kartagener综合征(KS)的特点是慢性鼻窦炎的三联征,支气管扩张,和Situs倒置。KS患者的镜像解剖和呼吸道感染对麻醉管理构成了巨大挑战。这篇综述的目的是总结已发表的病例,希望帮助麻醉医师更安全地对KS患者进行麻醉。在Pubmed,EMBASE,CNKI,和万方数据库。提取的数据包括年龄,性别,手术类型,术前治疗,麻醉类型,麻醉剂,气道管理,中心静脉导管插入术,经食管超声心动图,逆转神经肌肉阻滞,手术过程中的不良事件,术后并发症。研究作者包括82例单病例报告,3个案例系列,和1个病例队列,共有99名患者。最常见的外科手术是胸外科手术(51.5%),接着是耳朵,鼻子,和咽喉手术(16.5%),和普外科(14.5%)。据报道,仅有20例患者的术前治疗,包括抗生素,支气管扩张剂,类固醇,胸部理疗,和姿势引流。85.4%的手术进行了全身麻醉,14.6%的病例进行了区域麻醉。对于非胸外科手术,气管导管是最常用的气道装置.对于胸外科手术,双腔导管是最常用的气道装置.大多数患者术中过程顺利,大多数患者术后恢复顺利。
KARTAGENER SYNDROME (KS) is characterized by the triad of chronic sinusitis, bronchiectasis, and situs inversus. The mirrored anatomy and respiratory infections in patients with KS patients pose great challenges for anesthetic management. The aim of this
review is to summarize published cases with the hope of helping anesthesiologists perform anesthesia in patients with KS more safely. A comprehensive literature search for all cases of anesthetic management of KS patients was performed in Pubmed, EMBASE, CNKI, and Wanfang Database. The extracted data included age, sex, type of surgery, preoperative treatment, type of anesthesia, anesthetic agents, airway management, central venous catheterization, transesophageal echocardiogram, reversal of neuromuscular blockade, adverse events during the surgery, and postoperative complications. The study authors included 82 single-case reports, 3 case series, and 1 case cohort, with a total number of 99 patients. The most common surgical procedures were thoracic surgery (51.5%), which was followed by ear, nose, and throat surgery (16.5%), and general surgery (14.5%). The preoperative treatment of the patients was reported in only 20 patients, and included antibiotics, bronchodilators, steroids, chest physiotherapy, and postural drainage. General anesthesia was performed for 85.4% of the surgeries, and regional anesthesia was performed in 14.6% of the cases. For nonthoracic surgery, an endotracheal tube was the most commonly used airway device. For thoracic surgery, a double-lumen tube was the most commonly used airway device. The intraoperative process was uneventful in most patients, and most patients recovered smoothly in the postoperative course.