Zardo Patrick, Kreft Tom, Hachenberg Thomas
Department of Cardiothoracic Surgery, Otto von Guericke University, Magdeburg, Germany.
Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany.
Thorac Cardiovasc Surg Rep. 2016 Dec;5(1):1-3. doi: 10.1055/s-0035-1556061. Epub 2015 Nov 24.
We present a case of impassable subglottic stenosis scheduled for tracheal resection and reconstruction managed by establishing a supraglottic airway. Despite careful preoperative evaluation, the stenosis was localized higher than anticipated, rendering conventional intubation impossible. Laryngeal mask bridging to cross-field ventilation was feasible and jet ventilation and cardiopulmonary bypass were available as emergency strategies. Surgery and emergence went uneventful. Perioperative considerations are discussed in this report.
我们报告一例声门下狭窄无法通过,计划行气管切除重建术,通过建立声门上气道进行管理。尽管术前进行了仔细评估,但狭窄部位比预期更高,导致传统插管无法进行。喉罩桥接至跨野通气是可行的,喷射通气和体外循环可作为应急策略。手术和苏醒过程顺利。本报告讨论了围手术期的注意事项。