Au C L, White S A, Grant R P
Department of Anaesthesia, Vancouver General Hospital, University of British Columbia, Canada.
Can J Anaesth. 1999 Jul;46(7):688-91. doi: 10.1007/BF03013960.
To describe a novel technique of tracheal intubation and ventilation in an adult patient with a large tracheoesophageal fistula at the level of the carina.
A 59 yr old woman with squamous cell carcinoma of the esophagus developed a large (2 cm diameter) tracheoesophageal fistula after radiotherapy. The level of her fistula precluded traditional use of a double-lumen endobronchial tube. Intubation and ventilation were managed with two endobronchial tubes. The ability to ventilate or collapse each lung individually was preserved and anesthesia and surgery proceeded uneventfully.
Double endobronchial intubation is described to manage anesthesia in an adult patient with a tracheoesophageal fistula at the level of the carina.
描述一种用于患有隆突水平大型气管食管瘘的成年患者的气管插管和通气新技术。
一名59岁的食管鳞状细胞癌女性患者在放疗后出现了一个大型（直径2厘米）气管食管瘘。其瘘管位置使得传统的双腔支气管导管无法使用。通过两根支气管导管进行插管和通气。保留了分别对每个肺进行通气或使其萎陷的能力，麻醉和手术顺利进行。
描述了双支气管插管用于一名患有隆突水平气管食管瘘的成年患者的麻醉管理。
