ANESTHETIC MANAGEMENT OF THE PATIENT SCHEDULED FOR HEAD AND NECK-CANCER SURGERY

被引：9

作者：

DOUGHERTY, TB

NGUYEN, DT

机构：

[1] Department of Anesthesiology and Critical Care, The University of Texas, M.D. Anderson Cancer Center, Houston, TX

来源：

JOURNAL OF CLINICAL ANESTHESIA | 1994年 / 6卷 / 01期

关键词：

AIRWAY INTUBATION; LARYNGOSCOPY; FIBEROPTIC; SURGERY; HEAD AND NECK;

D O I：

10.1016/0952-8180(94)90125-2

中图分类号：

R614 [麻醉学];

学科分类号：

100217 [麻醉学];

摘要：

For the patient scheduled for head and neck cancer surgery, careful assessment of the airway demonstrates the most appropriate course of action for securing the airway before surgery begins. Often the patient may be anesthetized safely before intubation of the trachea. The patient may require an awake examination of the airway under sedation and topical analgesia or an awake fiberoptic intubation before the induction of general anesthesia. To secure the airway in some patients, a tracheostomy may be needed. After the operation, extubation of the trachea requires careful attention and may be even more of a challenge than the original intubation. Current principles and techniques for the anesthetic management of the patient undergoing head and neck cancer surgery are reviewed. Emphasis is placed on avoiding the airway problems associated with this kind of surgery.

引用

页码：74 / 82

页数：9

共 20 条

[1]

Merletti, Boffetta, Ciccone, Mashberg, Terracini, Role of tobacco and alcoholic beverages in the etiology of cancer of the oral cavity/oropharynx in Torino, Italy, Cancer Res, 49, pp. 4919-4924, (1989)

[2]

Binnie, Etiology, Oral Cancer, Fpidemiology, Etiology, and Pathology, pp. 17-42, (1990)

[3]

Spitz, Newell, Descriptive epidemiology of squamous cell carcinoma of the upper aerodigestive tract, Cancer Bull, 39, pp. 79-81, (1987)

[4]

Dixon, Hunter, Lasers in otolaryngology: a perspective, Lasers in Otolaryngology—Head and Neck Surgery, pp. 1-8, (1990)

[5]

Davis, Principles of surgical reconstruction, Management of Oral Cancer, pp. 69-86, (1989)

[6]

Donlon, Anesthesia for eye, ear, nose, and throat, Anesthesia, 3, pp. 1837-1894, (1986)

[7]

Kirk, Anesthesia for ear, nose and throat surgery, Principles and Practice of Anesthesiology, 2, pp. 2257-2274, (1993)

[8]

American Society of Anesthesiologists, Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists' task force on management of the difficult airway, Anesthesiology, 78, pp. 597-602, (1993)

[9]

Donlon, Anesthesia for eye, ear, nose and throat surgery, Anesthesia, 2, pp. 2001-2023, (1990)

[10]

Ovassapian, Fiberoptic Airway Endoscopy in Anesthesia and Critical Care, pp. 135-148, (1990)

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