КЛИНИЧЕСКИЙ СЛУЧАЙ ВНЕПЛАНОВОЙ ОБЛИГАТНОЙ ТРУДНОЙ ИНТУБАЦИИ У ПАЦИЕНТА И СОВРЕМЕННЫЙ УЛЬТРАЗВУКОВОЙ МЕТОД ЕЕ ВЫЯВЛЕНИЯ
Аннотация
Эндотрахеальная интубация – один из наиболее важных навыков анестезиолога-реаниматолога при обеспечении проходимости дыхательных путей во время общей анестезии и реанимации. Возникновение непредвиденной трудной интубации связано с риском для жизни пациентов, поэтому необходима объективная количественная предоперационная оценка дыхательных путей, чтобы избежать данной проблемы. В приведенном клиническом случае описана современная ультразвуковая диагностика трудной интубации, которая может оказаться более перспективным и более точным методом по сравнению со стандартной модифицированной шкалой Маллампати.
Литература
Wu J, Dong J, Ding Y, Zheng J. Role of anterior neck soft tissue quantifications by ultrasound in predicting difficult laryngoscopy. Med Sci Monit. 2014;20:2343-2350. https://doi.org/10.12659/MSM.891037.
Adhikari S, Zeger W, Schmier C, Crum T, Craven A, Frrokaj I, Pang H, Shostrom V. Pilot study to determine the utility of point-of-care ultrasound in the assessment of difficult laryngoscopy. Acad Emerg Med. 2011;18(7):754-758. https://doi.org/10.1111/j.1553-2712.2011.01099.x.
Fernandez-Vaquero MA, Charco-Mora P, Garcia-Aroca MA, Greif R. Preoperative airway ultrasound assessment in the sniffing position: a prospective observational study. Braz J Anesthesiol. 2023;73(5):539-547. https://doi.org/10.1016/j.bjane.2022.07.003.
Lin J, Bellinger R, Shedd A, Wolfshohl J, Walker J, Healy J, Taylor J, Chao K, Yen YH, Tzeng CT, Chou EH. Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review. Diagnostics (Basel). 2023;13(9):1541. https://doi.org/10.3390/diagnostics13091541.
Falcetta S, Cavallo S, Gabbanelli V, Pelaia P, Sorbello M, Zdravkovic I, Donati A. Evaluation of two neck ultrasound measurements as predictors of difficult direct laryngoscopy: A prospective observational study. Eur J Anaesthesiol. 2018;35(8):605-612. https://doi.org/10.1097/EJA.0000000000000832.
Xu J, Wang B, Wang M, Yao W, Chen Y. The value of multiparameter combinations for predicting difficult airways by ultrasound. BMC Anesthesiol. 2022;22(1):311. https://doi.org/10.1186/s12871-022-01840-0.
Carsetti A, Sorbello M, Adrario E, Donati A, Falcetta S. Airway Ultrasound as Predictor of Difficult Direct Laryngoscopy: A Systematic Review and Meta-analysis. Anesth Analg. 2022;134(4):740-750. https://doi.org/10.1213/ANE.0000000000005839.
Chernyshev VA. UZI verhnih dyhatelnyh putej. Moskva; 2023. 57 p. (Russian).
Ni H, Guan C, He G, Bao Y, Shi D, Zhu Y. Ultrasound measurement of laryngeal structures in the parasagittal plane for the prediction of difficult laryngoscopies in Chinese adults. BMC Anesthesiol. 2020;20(1):134. https://doi.org/10.1186/s12871-020-01053-3.
Wang X, Wang Y, Zheng ZW, Liu YR, Ma WH. Ultrasound measurements for evaluation of changes in upper airway during anaesthesia induction and prediction difficult laryngoscopy: a prospective observational study. Sci Rep. 2022;12(1):18564. https://doi.org/10.1038/s41598-022-21695-2.
Agarwal R, Jain G, Agarwal A, Govil N. Effectiveness of four ultrasonographic parameters as predictors of difficult intubation in patients without anticipated difficult airway. Korean J Anesthesiol. 2021;74(2):134-141. https://doi.org/10.4097/kja.20114.
Sotoodehnia M, Khodayar M, Jalali A, Momeni M, Safaie A, Abdollahi A. Prediction of difficult laryngoscopy/difficult intubation cases using upper airway ultrasound measurements in emergency department: a prospective observational study. BMC Emerg Med. 2023;23(1):78. https://doi.org/10.1186/s12873-023-00852-4.
Yao W, Wang B. Can tongue thickness measured by ultrasonography predict difficult tracheal intubation? Br J Anaesth. 2017;118(4):601-609. https://doi.org/10.1093/bja/aex051.
Bindu HM, Dogra N, Makkar JK, Bhatia N, Meena S, Gupta R. Limited condylar mobility by ultrasonography predicts difficult direct laryngoscopy in morbidly obese patients: An observational study. Indian J Anaesth. 2021;65(8):612-618. https://doi.org/10.4103/ija.IJA_1508_20.
Wang B, Wang M, Yang F, Zheng C, Yu T, Xu J, Chen Y, Yao W. Predicting difficult intubation: the hyomental distance ultrasound evaluation is superior to the thyromental distance. Anaesth Crit Care Pain Med. 2022;41(6):101144. https://doi.org/10.1016/j.accpm.2022.101144.
