Goswami D, Kashyap L, Batra R K, Bhagat C
Department of Anesthesia, All India Institute of Medical Sciences, New Delhi, India.
Saudi J Anaesth. 2016 Jan-Mar;10(1):104-6. doi: 10.4103/1658-354X.169487.
Obstructing lesions of the central airways present with a variety of symptoms and are often associated with pneumonia or asthma-like states. Anesthesia to these patients often presents challenges right from the preoperative stabilization of underlying lung condition, mask ventilation in the supine position to maintaining oxygenation and ventilation in the intraoperative and postoperative period. We present here a case of a young woman with a central bronchial tumor with significant airway obstruction with potential for major bleeding and subsequent anesthetic management without lung sacrificing measures and cardiopulmonary bypass assistance.
中央气道阻塞性病变会出现多种症状,且常与肺炎或哮喘样状态相关。对这些患者进行麻醉,从术前稳定基础肺部状况、仰卧位面罩通气到术中和术后维持氧合及通气,往往都存在挑战。我们在此呈现一例年轻女性患者,其患有中央支气管肿瘤,气道严重阻塞,有大出血风险,后续介绍了在不采取肺切除措施及无体外循环辅助情况下的麻醉管理。