高频叠加常频喷射通气应用于支撑喉镜下激光喉腔扩大重建术麻醉管理1例  

Application of superimposed high-frequency jet ventilation in laser laryngeal cavity expansion and reconstruction under self-retaining laryngoscope for anesthesia management: A case report

作　　者：敖腾 陈琳[1] 陈果[1] Ao Teng;Chen Lin;Chen Guo(Department of Anesthesiology,West China Hospital of Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院麻醉科,成都610041

出　　处：《国际麻醉学与复苏杂志》2021年第9期947-950,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：困难气道管理一直以来都是麻醉医师需要面对的巨大难题。文章报道1例喉癌术后伴气管切开、放疗病史,拟行"支撑喉镜下激光喉腔扩大重建术"的喉腔狭窄患者,经麻醉医师与外科医师术前讨论和紧密配合,成功应用高频叠加常频喷射通气(superimposed high frequency jet ventilation,SHFJV)完成手术的病例。该技术不进行气管插管即可保障患者术中通气,给外科医师提供了良好的手术视野,预后良好。文章讨论并总结该病例经验,以期为困难气道管理提供新思路。Management of difficult airway has always been a huge challenge for anesthesiologists.This paper reports a laryngeal stenosis patient who were scheduled for laser laryngeal cavity expansion and reconstruction under a self-retaining laryngoscope after laryngeal cancer surgery accompanied with tracheotomy and radiotherapy.The surgery was successfully completed through preoperative discussion and close cooperation between anesthesiologists and surgeons using superimposed high frequency jet ventilation(SHFJV).This technique does not require endotracheal intubation,which ensures the ventilation of patients during surgery and provides a good surgical field of vision and a favorable prognosis.This paper discussed and summarized the experience of this case,so as to provide new thoughts for perioperative management of difficult airway.

关 键 词：喉腔 困难气道 高频叠加常频喷射通气 麻醉管理 

分 类 号：R614[医药卫生—麻醉学]