室息氧合技术在下颌骨骨折困难气道患者麻醉诱导中的应用1例  

The Application of Apneic Oxygenation for Difficult Airway Management in Anesthetic Induction of Mandibular Fracture Patient:A Case Report

作　　者：孙子奇 石存现[1] 马加海[1] 金瑾 Ziqi Sun;Cunxian Shi;Jiahai Ma;Jin Jin(Yantai Yuhuangding Hospital,Yantai 264001,P.R.China)

机构地区：[1]烟台毓璜顶医院麻醉科

出　　处：《中国口腔医学继续教育杂志》2023年第6期484-488,共5页Chinese Journal of Stomatologial Continuing Education

摘　　要：目的:探讨窒息氧合技术在下颌骨骨折困难气道患者麻醉诱导中的应用。诊治经过:对1例因创伤致下颌骨骨折出现呼吸困难的急诊病人,经麻醉前评估后,患者有可能气管插管困难并有返流误吸的风险,围术期应用窒息氧合技术,通过鼻导管高流量吸氧进行预氧合。结果:延长了气管插管的安全窒息时间,成功在经鼻高流量吸氧预氧合后进行全身麻醉快速顺序诱导气管插管。结论:在严格的气道评估和应对困难气道充分准备的条件下,应用窒息氧合技术有助于延长患者安全窒息的时间,为麻醉医生气管插管争取了更多的时间。避免了清醒气管插管或者气管切开,减轻了患者的痛苦,提高了患者在全麻诱导期的安全性和舒适性。Objective:This article reported the application of apneic oxygenation for difficult airway management in anesthetic induction of a mandibular fracture patient.Diagnosis and treatment:The patient faced challenges in preoperative airway management,including difficult tracheal intubation and the risk of aspiration and regurgitation.In this case,the article discussed the use of apneic oxygenation technique during the preoperative period.Results:Transnasal high flow oxygen inhalation through a nasal cannula was applied for preoxygenation,enabling a successful rapid sequence induction of general anesthesia with endotracheal intubation.Conclusions:This approach extended the patient’s safe apnea time,avoiding the need for awake tracheal intubation or a tracheostomy.It not only reduced the patient’s discomfort but also enhanced safety and comfort during the induction of general anesthesia.

关 键 词：窒息氧合技术 困难气道 经鼻高流量吸氧 下颌骨骨折 麻醉诱导 

分 类 号：R47[医药卫生—护理学]