摘要
牙齿损伤是全身麻醉手术中常见的并发症之一。若患者术前存在牙列缺损,在全身麻醉气道管理过程中牙齿损伤风险较高。选择合适的插管技术并进行规范的临床操作对减少术中牙齿损伤尤为关键。近年来,可视化技术和新型插管技术均可应用于牙列缺损的患者。文章简述不同种类的可视喉镜、喉罩、纤维支气管镜、光棒等辅助插管设备的特点,以及在牙列缺损患者中应用上述辅助插管技术和复合插管技术进行气管插管的优缺点。结合近年国内外文献,综述不同插管技术在牙列缺损患者中的临床应用。如今,越来越多的新型插管技术用于临床,以期降低围手术期患者牙齿损伤的发生率。
Tooth injury is one of the common complications during general anesthesia.If patients have dental defects before surgery,the risk of tooth injury is higher during airway management with general anesthesia.In recent years,the visualization technolo‑gy and new technology can be applied to intubation in patients with dental abnormalities.This review briefly describes the characteris‑tics of intubation equipment and other auxiliary,such as different types of visual laryngoscope,laryngeal mask,fiber bronchoscope,light rods.Advantages and disadvantages of using the above auxiliary intubation technology and composite intubation technology for en‑dotracheal intubation in patients with dental abnormalities were discussed.In this review,the clinical application of different intubation techniques in patients with dental abnormalities is summarized.Nowadays,more and more new intubation techniques are being used in clinic to reduce the incidence of perioperative dental injury.
作者
刘思敏
曹茜茜
高丽红
张艳鹏
井子夜
杨保仲
Liu Simin;Cao Xixi;Gao Lihong;Zhang Yanpeng;Jing Ziye;Yang Baozhong(Institute of Anesthesia,Shanxi Medical University,Taiyuan 030001,China;The First Clinical Medical College,Shanxi Medical Univer-sity,Taiyuan 030001,China)
出处
《国际麻醉学与复苏杂志》
CAS
2022年第3期294-297,共4页
International Journal of Anesthesiology and Resuscitation
关键词
牙列缺损
牙齿损伤
气管插管
直接喉镜
视频喉镜
Dentition defect
Tooth Injuries
Endotracheal intubation
Direct laryngoscope
Indirect laryngoscope