Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School and Hospital, Gwangju, South Korea.
J Int Med Res. 2020 Apr;48(4):300060520911267. doi: 10.1177/0300060520911267.
In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.
在手术室中，可能会出现意外的困难插管，麻醉师可能会遇到具有挑战性的情况。由先天性因素、创伤、肿瘤或插管后损伤引起的未诊断的气管狭窄，可能会使气管内导管难以推进。我们介绍了一位成年患者，我们无法将气管内导管插入其气管。这是由未诊断的先天性气管中段狭窄伴完全性气管环引起的。当面临意外的困难气道时，麻醉师需要理解术前评估的结果。如果出现异常情况（例如，先天性气管狭窄），应考虑与其他科室积极合作。
