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Case Report: Emergency percutaneous transtracheal jet ventilation in a hypoxic cardiopulmonary resuscitation setting: a life-saving rescue technique

机译:病例报告:低氧性心肺复苏中的紧急经皮经气管喷射通气:一种救生方法

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摘要

(Un)anticipated difficult airway remains a challenge in anaesthesia. Percutaneous transtracheal jet ventilation has been shown to be an adequate technique for temporary oxygenation and ventilation and has been described as an acknowledged method in emergency settings of an unanticipated difficult airway. These emergency settings can be considered as low incidence high-risk situations. Both technical and non-technical skills should be trained regularly as education and simulation continues to play an important factor in patient safety. Furthermore, postoperative laryngeal oedema due to altered lymphatic drainage patterns must be considered as a possible mechanism of an upper airway obstruction in combination with a history of neck dissection and radiotherapy.
机译:(未)预期的困难气道仍然是麻醉的挑战。经皮经气管喷射通气已被证明是用于临时充氧和通气的适当技术,并已被描述为在意料之外的困难气道的紧急情况下公认的方法。这些紧急情况可以被认为是低发高危情况。随着教育和模拟继续在患者安全中发挥重要作用,应定期培训技术和非技术技能。此外,由于淋巴引流方式改变而导致的术后喉头水肿必须考虑与颈淋巴清扫和放疗史相结合,是上呼吸道阻塞的可能机制。

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