Management of a Difficult Airway in a Child with Epidermolysis Bullosa Dystrophica Using a Combination of Direct Laryngoscopy and Fiberoptic Bronchoscopy

Aaron Rosenbaum; Matthew Follansbee; Jiwon Sarah Crowley; Reid Abrams; Mark Greenberg

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Management of a Difficult Airway in a Child with Epidermolysis Bullosa Dystrophica Using a Combination of Direct Laryngoscopy and Fiberoptic Bronchoscopy

机译：结合直接喉镜和纤维支气管镜对小儿表皮松解性营养不良患儿的困难气道进行处理

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We describe a novel approach to a difficult airway in a 12-year-old boy with epidermolysis bullosa dystrophica undergoing de-cocooning, pseudosyndactyly release, flexion contracture release and full thickness skin grafting of the right hand. A fiberoptic bronchoscope combined with direct laryngoscopic assistance was used to intubate the patient in whom we encountered a difficult airway. By incorporating the fiberoptic bronchoscope, this approach minimized trauma allowing for mucosal examination with placement and removal of the endotracheal tube.

机译：我们描述了一种新的方法来解决一个难治气道的问题，该方法是对一名患有表皮松解性大疱性肌营养不良的12岁男孩进行除茧，假性指突释放，屈曲挛缩释放和右手全皮移植。纤维支气管镜结合直接喉镜辅助用于向我们遇到困难气道的患者进行气管插管。通过结合纤维支气管镜，这种方法可以最大程度地减少创伤，允许通过放置和拔出气管插管进行粘膜检查。

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《The Internet Journal of Anesthesiology》 |2019年第1期|共6页
作者
Aaron Rosenbaum; Matthew Follansbee; Jiwon Sarah Crowley; Reid Abrams; Mark Greenberg;
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中图分类麻醉学;
关键词
epidermolysis bullosa dystrophicafiberoptic bronchoscopeintubationsyndactyly;

机译：表皮溶解性大疱性营养不良性纤维支气管镜插管;

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1. Airway management in adult patients with epidermolysis bullosa dystrophica: a case series. [J] . Frohlich S, OSullivan E Anaesthesia: Journal of the Association of Anaesthetists of Great Britain and Ireland . 2011,第9期

机译：成年表皮松解性营养不良患者的气道管理：一个病例系列。
2. Airway management in adult patients with epidermolysis bullosa dystrophica: a case series [J] . S. Fr?hlich E. O’Sullivan Anaesthesia . 2011,第9期

机译：成人大疱性表皮营养不良患者的气道管理：病例系列
3. FIBEROPTIC BRONCHOSCOPY VERSUS VIDEO LARYNGOSCOPY IN PEDIATRIC AIRWAY MANAGEMENT [J] . Karisik Marijana, Janjevic Dusanka, Sorbello Massimiliano Acta clinica Croatica . 2016,第Suppla1期

机译：小儿气道管理中的纤维支气管镜与视频喉镜检查
4. Performance Comparison of Laryngoscopy and Suction Techniques in a Hemorrhagic Airway Manikin Simulator: Direct Laryngoscopy with Yankauer vs. Storz CMAC with Attached Suction Tip [C] . Thomas A. NICHOLAS IV, Huiling PANG Medicine Meets Virtual Reality . 2012

机译：喉镜术和吸入技术在出血气道Manikin模拟器中的性能比较：yankauer与斯托斯CMAC的直接喉镜，附着尖端
5. The use of high‐flow nasal oxygen during airway management in a child with epidermolysis bullosa dystrophica and a difficult airway [O] . L. Y. Ng, A. K. M. Chan, T. W. Y. Lam 2019

机译：使用高流量鼻氧气在呼吸器管理中的气道管理期间具有表皮分解Bullosa Dystophica和困难的气道
6. A comparison of Bonfils intubation fiberscopy and fiberoptic bronchoscopy in difficult airways assisted with direct laryngoscopy [O] . Kim, Soo Hwan, Woo, Su Jin, Kim, Jong Hoon 2010

机译：Bonfils插管纤维镜和纤维支气管镜在困难气道辅助喉镜检查中的比较

Management of a Difficult Airway in a Child with Epidermolysis Bullosa Dystrophica Using a Combination of Direct Laryngoscopy and Fiberoptic Bronchoscopy

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