Department of Anesthesia, University of Melbourne at Austin Health, Melbourne, Victoria, Australia; Department of Surgery, University of Melbourne at Austin Health, Melbourne, Victoria, Australia.
Department of Anesthesia, University of Melbourne at Austin Health, Melbourne, Victoria, Australia.
J Cardiothorac Vasc Anesth. 2022 Aug;36(8 Pt B):3139-3146. doi: 10.1053/j.jvca.2022.01.028. Epub 2022 Jan 23.
EMERGENCY AIRWAY management strategies for patients with complications due to tracheobronchial stents are of growing interest to anesthesiologists. Although tracheal stenting increasingly is used to manage tracheobronchial stenosis of both benign and malignant conditions, official guidelines for the perioperative airway management of patients with tracheobronchial stents in situ are lacking. Here, the authors discuss the management of airway obstruction from a tracheal stent strut protrusion and in-stent stenosis in a patient with a self-expanding nitinol tracheal stent in situ. They discuss the airway management strategy employed and outline a pragmatic airway management algorithm for patients with tracheal stents presenting with airway obstruction.
麻醉医师越来越关注气管支气管支架并发症患者的紧急气道管理策略。虽然气管支架越来越多地用于治疗良性和恶性疾病引起的气管支气管狭窄，但对于原位气管支气管支架患者围手术期气道管理的官方指南尚缺乏。在此，作者讨论了一名患者中气管支架支柱突出和支架内狭窄导致的气道阻塞的管理，该患者原位植入了自膨式镍钛诺气管支架。他们讨论了所采用的气道管理策略，并为出现气道阻塞的气管支架患者制定了实用的气道管理算法。
