Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Anaesthesia and Intensive Care Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
Asian Cardiovasc Thorac Ann. 2021 Jun;29(5):431-433. doi: 10.1177/0218492320985963. Epub 2021 Jan 12.
The optimal placement of a tracheal tube following percutaneous dilator tracheostomy is technically demanding in patients with tracheal stents. We report a successful technique of tracheostomy tube placement with PercuTwist in an intubated patient with a tracheal stent for malignant stenosis. The endotracheal tube was replaced with a laryngeal mask, a 9.0-mm tracheostomy tube was inserted into the trachea over a PercuTwist percutaneous dilator and through the tracheal stent under video-bronchoscopic vision. The PercuTwist technique kept the lumen of trachea, a laryngeal mask enabled adequate ventilation, and a video-bronchoscope guided the prompt insertion of the tracheostomy tube through the stent.
经皮扩张气管切开术后，在有气管支架的患者中，气管导管的理想位置放置技术要求很高。我们报告了一种在恶性狭窄的气管支架置入患者中，使用 PercuTwist 进行气管切开术的成功技术。在使用经皮扩张气管切开术的过程中，将气管内导管更换为喉罩，通过视频支气管镜引导将 9.0 毫米的气管切开管插入气管中，并穿过气管支架。PercuTwist 技术保持了气管的管腔通畅，喉罩能够提供充足的通气，而视频支气管镜则可以引导迅速将气管切开管插入支架中。
