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首页> 外文期刊>Anaesthesia: Journal of the Association of Anaesthetists of Great Britain and Ireland >Equal and opposite expert opinion. Airway obstruction caused by a retrosternal thyroid mass: management and prospective international expert opinion.
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Equal and opposite expert opinion. Airway obstruction caused by a retrosternal thyroid mass: management and prospective international expert opinion.

机译：平等和相反的专家意见。胸骨后甲状腺肿块引起的气道阻塞：管理和国际专家意见。

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摘要

Anticipated problems with airway management during anaesthesia require careful planning, particularly when they involve a risk of airway obstruction. Advice may be sought from published literature (usually written by experts) or through direct communication with experts. More frequently, expert involvement is through retrospective review following patient harm. We present the case of a patient suffering from a retrosternal thyroid mass that was compressing her trachea in the midline and dividing it into two 2 x 3 mm lumens. After local discussion the patient underwent thyroidectomy. We invited international experts in anaesthetic airway management to review her case and submit their opinions regarding the best airway management for this difficult case. Opinions differed markedly, mirroring the published literature. Some experts specifically criticised techniques that, unbeknown to them, were proposed by others. The case raises issues about the nature of expert opinion that extends beyond this particular case. The nature and implications of expert opinion, when evidence is absent or conflicting, are discussed.
机译：麻醉期间气道管理的预期问题需要仔细计划，尤其是当它们涉及气道阻塞风险时。可以从已发表的文献（通常由专家撰写）中寻求建议，也可以通过与专家直接交流来寻求建议。更常见的是，专家介入是通过对患者伤害后的回顾性审查。我们介绍了一个患者，该患者患有胸骨后甲状腺肿块，该肿块在中线压缩气管并将其分成两个2 x 3 mm流明。经过局部讨论后，患者接受了甲状腺切除术。我们邀请麻醉气道管理的国际专家对她的病例进行复查，并就此困难病例的最佳气道管理提出意见。意见分歧很大，反映了已发表的文献。一些专家特别批评了其他人不提出的技术。该案引发了有关专家意见性质的问题，这些问题超出了此案的范围。当缺乏证据或发生冲突时，将讨论专家意见的性质和含义。

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