Department of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy.
Anesthesiology and Critical Care Unit, Azienda Ospedaliera di Perugia, Perugia, Italy.
Ann Thorac Surg. 2019 Jun;107(6):e435-e436. doi: 10.1016/j.athoracsur.2018.12.058. Epub 2019 Feb 7.
An innovative technique for airway management, using a small-diameter, short-cuffed orotracheal tube for assisting rigid bronchoscopy in critical airway obstruction is reported. The device, part of the translaryngeal tracheostomy kit, "Fantoni method" (DAR TLT, Covidien, Minneapolis, MN), was placed beyond the stenosis and used in combination with the rigid bronchoscope. This procedure improves safety during the management of critical tracheal stenoses because the airway is constantly under the anesthesiologist's control. Consequently, inhalation anesthesia is feasible, use of neuromuscular blockade is possible, end-tidal carbon dioxide monitoring is reliable, and the distal airway is protected from blood and debris soilage during tumor debulking. Surgery is faster because it is uninterrupted.
报道了一种用于气道管理的创新技术，使用小直径、短套囊的经口气管插管在严重气道阻塞时辅助硬质支气管镜检查。该器械是经喉气管切开套件的一部分，称为“Fantoni 方法”（DAR TLT，Covidien，明尼苏达州明尼阿波利斯），放置在狭窄部位之外，并与硬质支气管镜联合使用。该方法可提高严重气管狭窄管理的安全性，因为气道始终处于麻醉师的控制之下。因此，可进行吸入麻醉，可使用神经肌肉阻滞剂，呼气末二氧化碳监测可靠，并且在肿瘤切除术期间保护远端气道免受血液和碎片污染。手术更快，因为它不会中断。
