Yapıcı Davud, Azizoğlu Mustafa, Özdülger Ali
Department of Anesthesiology and Reanimation, Mersin University Faculty of Medicine, Mersin, Turkey.
Department of Thoracic Surgery, Mersin University Faculty of Medicine, Mersin, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2021 Jan 13;29(1):129-132. doi: 10.5606/tgkdc.dergisi.2021.19427. eCollection 2021 Jan.
Herein, we present a novel method to overcome difficult ventilation in a patient with a carinal tumor. After induction of anesthesia, we observed difficult ventilation due to obstruction of the right main bronchus as a result of herniation of the tumor mass arising from the left bronchial stump. Traditional lung ventilation techniques were not an option under these conditions. Therefore, the Aintree intubation catheter was used to obtain a patent airway and, with this technique, the patient was successfully and securely ventilated throughout the whole procedure. To the best of our knowledge, this technique is the first to describe successful ventilation during rigid bronchoscopy in a case with a tracheal carinal tumor.
在此,我们介绍一种克服气管隆突肿瘤患者通气困难的新方法。麻醉诱导后,我们观察到由于肿瘤块从左支气管残端疝出导致右主支气管阻塞,出现通气困难。在这些情况下,传统的肺通气技术不可行。因此,使用安特里插管导管建立了通畅气道,通过该技术,患者在整个手术过程中成功且安全地实现了通气。据我们所知,该技术是首次描述在气管隆突肿瘤病例的硬质支气管镜检查期间成功通气的方法。