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Bronchoscope-Aided Intubation in Patients with Prone Position-Three Cases Report

支氣管纖維鏡於俯臥病人氣管插管-病例報告

摘要


全身麻醉插管很普遍。臨床實務中,可能因不同狀況致使插管必須在任何姿勢下進行。多數病人在仰躺下進行插管,側躺插管的情形不常見,至於俯臥插管更少見。本文報告了三個在俯臥姿勢下插管的案例。這三名是選擇性手術患者,一開始採用脊髓麻醉,但手術不預期的延長,必須另外採用全身麻醉。因此麻醉須在患者維持俯臥的情形下進行。我們由此體驗,不管是俯臥或者仰躺,經支氣管鏡輔助的插管技巧是相似的。

並列摘要


Tracheal intubation under general anesthesia is common. In clinical practice, intubation may be carried out on patients in various positions, depending on the situation. Most patients are intubated in a supine position, while the lateral position is used infrequently, and prone-position intubation is rare. This report describes three patients who were intubated in the prone position. The three were undergoing elective surgery and initially received spinal anesthesia, but because the surgeries were unexpectedly prolonged, general anesthesia was required and intubation had to be carried out in the prone position. From our experience in these cases, we have found that bronchoscope-aided intubation of prone patients is quite similar to bronchoscope-aided intubation of supine patients.

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