双腔气管内导管通气困难：一种罕见的制造缺陷。
Difficult ventilation with a double-lumen endotracheal tube: an unusual manufacturing defect.
作者信息
Chen Hung-Shu, Jawan Bruno, Tseng Chia-Chih, Cheng Kwok-Wai, Wang Chih-Hsien
机构信息
Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Taipei, Taiwan, Republic of China.
出版信息
Anesth Analg. 2005 Oct;101(4):1094-1097. doi: 10.1213/01.ane.0000167637.36187.22.
UNLABELLED
We report an unexpected difficult ventilation with a double-lumen endotracheal tube in a patient receiving left upper lobe lung mass resection. The manufacturing defect in both limbs of the Opti-Port Right Angle Double Swivel Connector of the double-lumen tube resulted in this problem. This defect is difficult to localize by the usual recommended methods. We discuss a modified algorithm for difficult ventilation with a double-lumen endotracheal tube.
IMPLICATIONS
Difficult ventilation occurred during general anesthesia as the result of a manufacturing defect in both limbs of the connector of the double-lumen endotracheal tube. The problem was resolved with a careful approach, and there were no serious consequences.
未标注
我们报告了1例接受左上叶肺肿块切除术的患者在使用双腔气管导管时出现意外的通气困难情况。双腔气管导管的Opti-Port直角双旋转连接器两分支均存在制造缺陷，导致了这一问题。通过常用的推荐方法难以定位此缺陷。我们讨论了一种针对双腔气管导管通气困难的改良算法。
启示
全身麻醉期间出现通气困难是双腔气管导管连接器两分支制造缺陷所致。通过谨慎处理解决了该问题，且未造成严重后果。
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