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全身麻醉氣管插管之通條意外斷裂於氣管-病例報告

The Breaking of Stylet in Trachea during Endotracheal Intubation: A Case Report

摘要


插管用鋁製通條(aluminum stylet)一般使用於放置氣管內管時協助調整角度的應用。在此報告一病例在全身麻醉插管時,通條意外斷裂,手術中曾使用纖維支氣管鏡無法確定是否斷裂在氣管內管並掉落在氣管內,手術結束後在C-arm X 光機的協助下,認定斷裂的通條卡在氣管內管內並順利一併取出。幸運地病人未留下任何後遺症及不良反應。

關鍵字

鋁製通條 斷裂通條 插管

並列摘要


Aluminum stylet is generally used for adjusting the angle when placing endotracheal tube. We report a case receiving endotracheal intubation under general anesthesia using a stylet which broke accidentally. The stylet broke into two pieces suddenly during use. We attempted to locate the broken pieces in the trachea using flexible bronchoscopy but the locations cannot be confirmed. At the end of the surgery with the help of C-arm X-ray machine, we identified the broken piece stuck in the front end of the endotracheal tube. The endotracheal tube and the broken stylet were extubated together smoothly. Fortunately, no complication and discomfort happened to the patient after this event.

並列關鍵字

aluminum stylet broken stylet intubation

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