Regional anesthesia considerations for awake endotracheal intubation and prevention and management of dental injuries.
Regional anesthesia considerations for awake endotracheal intubation and prevention and management of dental injuries.
复制标题
清醒气管插管的区域麻醉注意事项以及牙齿损伤的预防和处理。
DOI：
10.1097/aia.0b013e318218f651
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发表时间：
2012
影响因子：
0.6
通讯作者：
M. Vallejo
中科院分区：
文献类型：
--
作者：
Nikhil Bhatnagar;Charles J Lin;S. Orebaugh;M. Vallejo
困难的气道和牙齿损伤管理是麻醉师面临的独特挑战。肥胖和阻塞性睡眠呼吸暂停的发病率增加了术前气道评估建议清醒插管的可能性，这类患者可能会被安排门诊或住院手术。此外，标准术前物理评估的预测能力较差，使得在任何环境下都可能遇到一些困难的喉镜检查；因此，医生必须能够在诱导后出现病人，并在必要时提供清醒的气道。此外，任何气管内插管都有牙齿损伤的风险。牙齿损伤是一种常见的并发症，也是对麻醉师提起诉讼的最常见原因。因此，麻醉师在门诊和医院实习都是至关重要的
Difficult airway and dental injury management present unique challenges for the anesthesiologist. Growing rates of obesity and obstructive sleep apnea increase the likelihood that preoperative airway assessment will suggest the need for awake intubation, and such patients are likely to be scheduled for either ambulatory or inpatient surgical procedures. Furthermore, the poor predictive power of standard preoperative physical assessments makes it likely that some difficult laryngoscopies will be encountered in any environment; therefore, the practitioner must be able to emerge the patient after an induction and provide an awake approach to the airway when necessary. In addition, any endotracheal intubation carries the risk of dental injury. Dental injury is a frequent complication, and is the most common reason for lawsuits against anesthesiologists. Hence, it is essential that an anesthesiologist practicing in both the ambulatory and hospital setting