การจัดการทางหายใจในผู้ป่วย หู คอ จมูกที่มีภาวะทางหายใจอุดกั้นเฉียบพลัน
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เผยแพร่แล้ว:
พ.ค. 6, 2021
คำสำคัญ:
การระงับความรู้สึก, ทางหายใจส่วนบน, ภาวะฉุกเฉิน, ภาวะอุดกั้น
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บทคัดย่อ
ภาวะทางหายใจอุดกั้นเฉียบพลันพบได้บ่อยในผู้ป่วยหู คอ จมูก มีสาเหตุส่วนใหญ ่จากการอุดกั้นของก้อนมะเร็ง โดยเฉพาะผู้ป่วยที่มีความก้าวหน้าของโรครวดเร็วกว่า คาดหมาย บุคลากรทางวิสัญญีมีหน้าที่ประเมินความยากใน การจัดการทางหายใจผู้ป่วยและวางแผนร่วมกับศัลยแพทย์ เปิดทางหายใจ โดยมีเป้าหมายให้ผู้ป่วยมีความปลอดภัย การให้การระงับความรู้สึกในผู้ป่วยกลุ่มนี้มีความยากและ ท้าทาย มีรายละเอียดเฉพาะที่ต้องปรับให้เหมาะกับผู้ป่วย แต่ละราย
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เอกสารอ้างอิง
1. ArnéJ,Descoins P,FusciardiJ,etal. Preoperativeassessment
for difficult intubationin generaland ENTsurgery: predictive
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2. Wong P,Wong J,MokMU. Anesthesiamanagementofacute
airwayobstruction. Singapore Med J2016;57:110-7.
3. McGuire G,el-Beheiry H. Completeupperairwayobstruction
during awake fiberoptic intubation in patients with unstable
cervical spinefractures. CanJ Anaesth1999;46:176-8.
4. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice
guidelinesformanagementof the difficultairway:anupdated
report bythe Americansocietyofanesthesiologiststaskforce
on management of the difficult airway. Anesthesiology
2013;118:251-70.
5. CookTM,Woodall N,Frerk C. Majorcomplicationsofairway
management in the UK: results of the fourth national audit
projectof the Royal Collegeof Anaesthetistsand the Difficult
Airway Society Part 1: Anesthesia. Br J Anaesth 2011;
106:617-31.
6. Aziz MF, Healy D, Kheterpal S,etal. Routineclinical practice
effectiveness of the Glidescope intubation, complications
and failures from two institutions. Anesthesiology 2011;
114:34-41.
7. Lowry DW, Carroll MT, Mirakhur RK, et al. Comparison of
sevorane and propofol with rocuronium for modified
rapid-sequence induction of anesthesia. Anaesthesia
1999;54:247-52.
8. Nouraei SA, Giussani DA, Howard DJ, et al. Physiological
comparisonofspontaneousand positive-pressureventilation
inlaryngotracheal stenosis. Br J Anaesth2008;101:419-23.
9. Cooper R, Mirakhur RK, Clarke RS, Boules Z. Comparison
of intubating condition after administration of Org 9246
(rocuronium) and suxamethonium. Br J Anaesth 1992;69:
269-73.
10. Dobois PE, MulierJP. A review of theinterestofsugamadex
for deep neuromuscular blockade management in Belgium.
Acta Anaesthesiol Belg 2013;64:269-73.
11. Hager HH, Burns B. Succinylcholine Chloride. StatPearls
2020[Internet]. [Cited 2020June22]. Availablefrom:https://
www.ncbi.nlm.nih.gov/books/NBK499984/
12. SorensenMK,BretlauC,GatkeMR, SorensenAM,Rasmussen
LS. Rapid sequenceinductionand intubationwithrocuroniumsugammadexcompared withsuccinylcholine:arandomized
trial. Br J Anaesth2012;108:682-9.
13. Ho AM, Chung DC, Karmakar MK, et al. Dynamic airflow
limitation after topical anaesthesia of the upper airway.
AnaesthIntensive Care2006;34:211-5.
14. Fusco P,Luorio A, Valle MD,etal. Awaketracheostomyina
patient with acute upper airway obstruction: an emergency
application of an elective percutaneous procedure. Open
Access Emergency Medicine2019;11:167-70.
15. GoldsteinJB, Goldenberg D.The difficultairway: Implication
for the otolaryngologist-head and neck surgeon. Operative
Techniques in Otolaryngology - Head and Neck Surgery
2007;18:72-6.
16. Evans E, Biro P, Bedforth N. Jet ventilation. Continuing
educationinanaesthesia. Criticalcare & Pain2007;7:2-5.
for difficult intubationin generaland ENTsurgery: predictive
value of a clinical multivariate risk index. Br J Anaesth
1998;80:140–6.
2. Wong P,Wong J,MokMU. Anesthesiamanagementofacute
airwayobstruction. Singapore Med J2016;57:110-7.
3. McGuire G,el-Beheiry H. Completeupperairwayobstruction
during awake fiberoptic intubation in patients with unstable
cervical spinefractures. CanJ Anaesth1999;46:176-8.
4. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice
guidelinesformanagementof the difficultairway:anupdated
report bythe Americansocietyofanesthesiologiststaskforce
on management of the difficult airway. Anesthesiology
2013;118:251-70.
5. CookTM,Woodall N,Frerk C. Majorcomplicationsofairway
management in the UK: results of the fourth national audit
projectof the Royal Collegeof Anaesthetistsand the Difficult
Airway Society Part 1: Anesthesia. Br J Anaesth 2011;
106:617-31.
6. Aziz MF, Healy D, Kheterpal S,etal. Routineclinical practice
effectiveness of the Glidescope intubation, complications
and failures from two institutions. Anesthesiology 2011;
114:34-41.
7. Lowry DW, Carroll MT, Mirakhur RK, et al. Comparison of
sevorane and propofol with rocuronium for modified
rapid-sequence induction of anesthesia. Anaesthesia
1999;54:247-52.
8. Nouraei SA, Giussani DA, Howard DJ, et al. Physiological
comparisonofspontaneousand positive-pressureventilation
inlaryngotracheal stenosis. Br J Anaesth2008;101:419-23.
9. Cooper R, Mirakhur RK, Clarke RS, Boules Z. Comparison
of intubating condition after administration of Org 9246
(rocuronium) and suxamethonium. Br J Anaesth 1992;69:
269-73.
10. Dobois PE, MulierJP. A review of theinterestofsugamadex
for deep neuromuscular blockade management in Belgium.
Acta Anaesthesiol Belg 2013;64:269-73.
11. Hager HH, Burns B. Succinylcholine Chloride. StatPearls
2020[Internet]. [Cited 2020June22]. Availablefrom:https://
www.ncbi.nlm.nih.gov/books/NBK499984/
12. SorensenMK,BretlauC,GatkeMR, SorensenAM,Rasmussen
LS. Rapid sequenceinductionand intubationwithrocuroniumsugammadexcompared withsuccinylcholine:arandomized
trial. Br J Anaesth2012;108:682-9.
13. Ho AM, Chung DC, Karmakar MK, et al. Dynamic airflow
limitation after topical anaesthesia of the upper airway.
AnaesthIntensive Care2006;34:211-5.
14. Fusco P,Luorio A, Valle MD,etal. Awaketracheostomyina
patient with acute upper airway obstruction: an emergency
application of an elective percutaneous procedure. Open
Access Emergency Medicine2019;11:167-70.
15. GoldsteinJB, Goldenberg D.The difficultairway: Implication
for the otolaryngologist-head and neck surgeon. Operative
Techniques in Otolaryngology - Head and Neck Surgery
2007;18:72-6.
16. Evans E, Biro P, Bedforth N. Jet ventilation. Continuing
educationinanaesthesia. Criticalcare & Pain2007;7:2-5.
