Dalia Adam A, Streckenbach Scott, Andrawes Mike, Channick Richard, Wright Cameron, Fitzsimons Michael
Department of Anesthesiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
Front Med (Lausanne). 2018 Nov 21;5:326. doi: 10.3389/fmed.2018.00326. eCollection 2018.
Airway management during pulmonary thromboendarterectomy (PTE) can prove challenging, especially in the face of unexpected intraoperative pulmonary hemorrhage. Utilization of proper airway equipment on induction is crucial for the successful management of intraoperative pulmonary hemorrhage. Our case series describes the preoperative risk factors that can lead to intraoperative pulmonary hemorrhage, the preinduction airway equipment considerations for PTE, and the intraoperative management of pulmonary hemorrhage. We summarize the lessons learned at our institution from four cases of post perfusion pulmonary hemorrhage.
在肺动脉血栓内膜剥脱术（PTE）期间，气道管理可能具有挑战性，尤其是在术中意外发生肺出血的情况下。诱导时使用合适的气道设备对于成功处理术中肺出血至关重要。我们的病例系列描述了可能导致术中肺出血的术前危险因素、PTE诱导前气道设备的考虑因素以及术中肺出血的处理。我们总结了在我们机构从4例灌注后肺出血病例中吸取的经验教训。
