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首页> 外文期刊>Paediatric anaesthesia >Mucous extractor: a pocket size, disposable, portable emergency suctioning device
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Mucous extractor: a pocket size, disposable, portable emergency suctioning device

机译：粘液提取器：口袋大小的一次性便携式应急吸尘器

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摘要

Sir-Mucous extractors have long been used in pediatric practice but their role in an anaesthesisf s armentorium has never been highlighted. We describe an unusual case scenario in which a mucous extractor was used successfully to suction out regurgitated material from the oropharynx of a patient and preventing aspiration pneumonitis when no other suction device was working.A 5-year-old, ASA grade 1 male child was operated for urethroplasty under general anesthesia at Lok Nayak Hospital, New Delhi, India. Intraoperative period was uneventful and tracheal extubation was performed after clinical neuromuscular recovery. Immediately after extubation he started to regurgitate bilious material. A head down tilt was given immediately and suctioning tried butthe vacuum pressure was found to be zero. We tried foot pump suction but it was not working. Immediately a mucous extractor was taken and oropharyngeal suctioning started. Our assistant took another mucous extractor and he also started suctioning .We suctioned a total of 50 ml bilious material from the oropharynx. The regurgitation stopped by then. The patient was maintaining saturation and his chest was clear on auscultation. He was kept under observation in the postoperative ward. No clinical or radiological evidence of aspiration pneumonitis was present and he was discharged subsequently.
机译：穆斯爵士爵士的抽气机在儿科实践中已被长期使用，但其在麻醉药室中的作用从未被强调。我们描述了一种不寻常的情况，其中在没有其他抽吸装置工作的情况下，成功地使用粘液提取器从患者的口咽中抽吸了反流物质并预防了吸入性肺炎。一名5岁的ASA 1级男婴在印度新德里Lok Nayak医院接受全麻下尿道成形术。临床神经肌肉恢复后，术中无异常，行气管拔管。拔管后立即开始对胆汁反流。立即将头朝下倾斜，尝试进行抽吸，但发现真空压力为零。我们尝试了脚踏泵吸，但是没有用。立即采取粘液提取器并开始口咽抽吸。我们的助手拿了另一个粘液提取器，他也开始吸痰。我们从口咽部吸走了总共50毫升胆汁。那时反流停止了。患者保持饱和，听诊时胸部清晰。他被留在术后病房观察。目前尚无吸入性肺炎的临床或影像学证据，随后他已出院。

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