Pota Vincenzo, Sansone Pasquale, Fiorelli Alfonso, Passavanti Maria Beatrice, D'Amora Mauro, Vosa Paola, Bignami Elena, Pace Maria Caterina, Aurilio Caterina
Anaesthesia and Intensive Care Unit, Department of Women, Children, General and Specialistic Surgery, L. Vanvitelli University of Campania, Naples, Italy.
Thoracic Surgery Unit, L. Vanvitelli University of Campania, Naples, Italy.
Perioper Med (Lond). 2018 Dec 17;7:31. doi: 10.1186/s13741-018-0111-x. eCollection 2018.
Tracheobronchial ruptures are very severe and life-threatening injuries. The origin of such airway damage is trauma or an iatrogenic event. Last year, we operated on three different cases of tracheal ruptures using endobronchial suture with three different airway management. We exposed the description of three different techniques to manage the airway during an endoscopic suture of tracheobronchial rupture with fibrin glue (laryngeal mask, orotracheal tube positioned distally the lesion, one lung ventilation with a small size single tube). Using this kind of technique, we have obtained a protective ventilation on tracheal rupture, a rapid healing, and fast recovery of spontaneous breathing.
气管支气管破裂是非常严重且危及生命的损伤。这种气道损伤的起因是外伤或医源性事件。去年,我们对三例不同的气管破裂病例进行了手术,采用支气管内缝合术并运用了三种不同的气道管理方法。我们阐述了在气管支气管破裂内镜缝合术中使用纤维蛋白胶时(喉罩、病变远端放置的口气管导管、使用小号单腔管进行单肺通气)三种不同的气道管理技术。通过使用这种技术,我们实现了对气管破裂的保护性通气、快速愈合以及自主呼吸的快速恢复。