Garg Rakesh, Thakore Sakshi, Madan Karan, Mohan Anant
Department of Anaesthesiology, Intensive Care and Pain Medicine, All India Institute of Medical Sciences, New Delhi, India.
Department of Pulmonary Medicine and Sleep Disorders, All India Institute of Medical Sciences, New Delhi, India.
BMJ Case Rep. 2017 Oct 24;2017:bcr-2017-221679. doi: 10.1136/bcr-2017-221679.
The use of laser for airway lesions requires airway management. Usual options include special laser-resistant endotracheal tubes. The use of supraglottic devices have been described in the literature. Laryngeal mask airway carries the risk of cuff damage during the use of laser. i-gel is made of thermoplastic material and does not require air inflation and thus potentially reduce the risk of cuff rupture. i-gel use in laser surgeries has not been described in the literature. We present successful airway management in laser surgery for bronchial tumour using i-gel.
使用激光治疗气道病变需要气道管理。常见的选择包括特殊的抗激光气管内导管。文献中已描述了声门上装置的使用。喉罩气道在激光使用过程中有袖带损伤的风险。i-gel由热塑性材料制成,不需要充气,因此可能降低袖带破裂的风险。文献中尚未描述i-gel在激光手术中的使用情况。我们展示了在使用i-gel进行支气管肿瘤激光手术中成功的气道管理。