Tewari Saipriya, Goyal Puneet, Rastogi Amit, Agarwal Aarti, Singh P K
Department of Anesthesia, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Ann Card Anaesth. 2017 Jul-Sep;20(3):359-361. doi: 10.4103/aca.ACA_194_16.
Large posterior mediastinal masses may lead threatening complications such as critical tracheobronchial compression. Airway management in these individuals is a challenge and being a lower airway obstruction; rescue strategies are limited. We encountered one such case of a large esophageal mucocele causing extrinsic tracheobronchial compression. We have described the anesthetic management of this case using awake fiber-optic assessment followed by intubation. Close communication with the surgical team, meticulous planning of airway management, and early drainage of the mucocele are the cornerstones of management in such patients.
巨大的后纵隔肿块可能导致威胁生命的并发症，如严重的气管支气管压迫。对这些患者进行气道管理具有挑战性，由于存在下气道梗阻，抢救策略有限。我们遇到了一例因巨大食管黏液囊肿导致气管支气管外压的病例。我们描述了该病例采用清醒纤维支气管镜评估后插管的麻醉管理。与手术团队密切沟通、精心规划气道管理以及早期引流黏液囊肿是此类患者管理的基石。
