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Asphyxia after extubation anesthesia report of 5 cases


Back to the ward with catheter again 22 hours after extubation, after smoothly. Discharged. Example 2. Male 26 years old. Rapid intubation with 1% procaine intravenous anesthesia + cocoa forest awarded down the lower left resection of gastric surgery left iliac bone graft. No abnormal preoperative, intraoperative vital signs were stable, smooth operation of surgery to be moisture into the recovery of spontaneous breathing, eye opening and call, comfortable suction 5 minutes after extubation extubation immediately after re-intubation apnea, artificial respiration 30 comfortable minutes. Tracheotomy backward back to the ward. Example 3, male. 72. Fast induction of intravenous anesthesia radical gastrectomy. Preoperative examination: myocardial strain ,8-T section of the coup, low-voltage operation in the vital signs were stable. Of surgery the patient resumed spontaneous breathing. Call of the eye opening, dialogue, exhaustion after extubation extubation after discharge about 2 minutes ago into the breathing weakened. Cyanosis of lips, no oxygen mask to improve oxygen pressure. 1 Ga Shu minutes after cardiac arrest calls. Re-intubation, artificial respiration, external cardiac massage. After intravenous injection of adrenal gap orderly and correct acid, dehydration,[link widoczny dla zalogowanych], shock and other treatment tangled bell about 3 ~ 4qt heart rate recovery, and 10 minutes after the resumption of breathing, respiration and circulation to be stable with a pipe back to the ward, again 12 hours after extubation, 48 hours mind fully awake. Discharged 18 days. Example 4 70-year-old male intravenous anesthesia for resection of esophageal cancer. Preoperative vital signs were normal. Successful surgery, patients referred back to the ward after extubation shift found in patients with breathing shallow and weak, cyanotic lips and then stopped breathing and heartbeat. Now mouth resuscitation, external cardiac massage, and then plug Meng tracheal oxygen pressure, about 10 minutes breathing and heart rate recovery. Made after 6 hours of artificial respiration tracheotomy to maintain patient infections present a week later discharged after the fever. Example 5, female food hyperthyroidism intravenous anesthesia combined resection of a sacrificial barrier gland. Patients after extubation after the election back to the ward shift of about 3 Shu minutes. I found cyanotic lips. No response and call. Partakers mouth sweet things. Clear oral secretions. Artificial respiration, correct the low blood pressure to see patients treated accelerated respiratory rate, nasal oxygen glance guide vital signs were normal after the TB. Discharged. 2 Medical Hall pupil experience 璺 blue pull up when the volume Ji Man Man Wong dragonfly wow Alice Look 6, ≥ 6 enough for a large section of oral and maxillofacial surgery, bleeding. May also be asked with the rib muscles, pharyngeal muscles and genioglossus ring tension has not been fully restored, can not support the tracheal smooth and clear the respiratory secretions on their own and cut the remaining mandible, most of the tongue, floor of mouth muscle damage, tissue loose prone to edema. Secretions increase after anesthesia aspiration and easy to the tongue easily fall Yue airway obstruction occurred. Although the patient has been sober, still choking after extubation may be, should be highly alert to take corresponding measures. Catheter after surgery is an effective guarantee to maintain airway patency. In particular, patients under general anesthesia after the application of muscle relaxant, and can not just be satisfied with near-normal tidal volume. Patients should be fully awake, domain cough expectoration powerful tongue so easily, not to breathe oxygen, 5 - 10 minutes 95% oxygen saturation more to dial in the observation tube. Fans back to the ward normal vital signs, advanced recovery chamber conditions. Organizations of older persons to reduce the effective alveolar elastic fibers reduce the area. Respiratory dysfunction, blood oxygen saturation is low. Hardening of the arteries. Poor health and have other complications. Tolerance of anesthesia is poor, muscle relaxants decreased clearance, so that efficacy of prolonged anesthetic effect after surgery has not yet fully clear, this time due to the stimulation of endotracheal suctioning, the patient is in good recovery of spontaneous breathing awake . deep sleep state. plus the old entrance of pharyngeal soft tissue relaxation, after the fall tongue easily, prone to respiratory tract obstruction. This group became ill and strictly control the extubation, after extubation apnea, respiratory arrest, the timely and effective treatment respiratory and circulatory function can be immediately restored. extubation after general anesthesia indication to strictly, and also deal with possible accidents have a full appraisal and preventive measures. extubation before the clear respiratory secretions, a time not to attract the elderly normal respiratory function is too long. cough, waste discharge and powerful. swallowing reflex active. the rise of leg raise 5B, consider extubation, after extubation apnea once, immediately hold up the jaw, artificial respiration, if necessary, re-intubation, to keep the airway open. Oral maxillofacial surgery patients should be delayed until the patient fully awake for a while asked to strengthen monitoring after extubation and, if necessary with the pipe back to the ward. away day of surgery should be noted that changes in position, to prevent secondary sleep glossocoma the first airway obstruction.