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本文引用的文献

1
Laryngectomy with a Tritube and flow-controlled ventilation.采用三腔气管导管和流量控制通气的喉切除术。
Anaesth Rep. 2021 May 7;9(1):86-89. doi: 10.1002/anr3.12114. eCollection 2021 Jan-Jun.
2
Ventilation strategies for front of neck airway rescue: an in silico study.颈部前气道救援的通气策略：一项计算机模拟研究。
Br J Anaesth. 2021 Jun;126(6):1226-1236. doi: 10.1016/j.bja.2021.01.030. Epub 2021 Mar 3.
3
Essential notes: the anaesthetic management of an inhaled foreign body in a child.要点：儿童吸入异物的麻醉管理
BJA Educ. 2019 Mar;19(3):66-67. doi: 10.1016/j.bjae.2019.01.005. Epub 2019 Feb 6.
4
Flow-controlled ventilation during ear, nose and throat surgery: A prospective observational study.耳鼻喉科手术中的流量控制通气：一项前瞻性观察研究。
Eur J Anaesthesiol. 2019 May;36(5):327-334. doi: 10.1097/EJA.0000000000000967.

采用三腔气管导管和流量控制通气治疗近乎完全性的胸内气道梗阻。

Near total intrathoracic airway obstruction managed with a Tritube and flow-controlled ventilation.

作者信息

Mallam L, Massingberd-Mundy D, Girgis M, De Zoysa N

机构信息

Department of Anaesthesia Poole Hospital NHS Trust Poole United Kingdom.

Department of Head & Neck Surgery Poole Hospital NHS Trust Poole United Kingdom.

出版信息

Anaesth Rep. 2022 Feb 28;10(1). doi: 10.1002/anr3.12156. eCollection 2022 Jan-Jun.

DOI:10.1002/anr3.12156
PMID:35252872
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8885748/
Abstract

We describe the management of a case of near total airway obstruction in a 79-year-old man who presented with a 2-week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid-tracheal mass of unknown aetiology with critical airway obstruction. We secured the patient's airway using a TriTube (Ventinova, Eindhoven, the Netherlands). While this facilitated a secure airway past the lesion, various issues were encountered which complicated the safe conduct of anaesthesia. We conclude that while the TriTube and Evone flow-controlled ventilation (Ventinova) are useful for critical airway obstruction, they can be problematic and thorough planning is essential.

摘要

我们描述了一名79岁男性近乎完全气道梗阻病例的处理情况，该患者有2周逐渐加重的气短和喘鸣病史。计算机断层扫描成像显示气管中段有一病因不明的肿物，伴有严重气道梗阻。我们使用TriTube（荷兰埃因霍温的Ventinova公司生产）确保了患者气道安全。虽然这有助于建立越过病变部位的安全气道，但仍遇到了各种问题，使麻醉的安全实施变得复杂。我们得出结论，虽然TriTube和Evone流量控制通气（Ventinova）对严重气道梗阻有用，但它们可能存在问题，全面规划至关重要。