Wolfram Alex, Whitmore Joseph, Haines Daniel, Grell Ryan
Anesthesiology and Perioperative Medicine, University of Louisville School of Medicine, Louisville, USA.
Cureus. 2023 Jun 2;15(6):e39858. doi: 10.7759/cureus.39858. eCollection 2023 Jun.
A 63-year-old male with a history of chronic obstructive pulmonary disease and squamous cell carcinoma of the larynx status-post laryngectomy and tracheostomy presented for a robotic-assisted right upper lobectomy for neoplasm excision. On physical examination, he was noted to have moderate hypoxia with an SpOof 93% on room air. In order to facilitate potential apneic oxygen insufflation and continuous positive airway pressure in the operative lung, a traditional left-sided 35-French double-lumen endobronchial tube was placed through his tracheostomy, and utilized to facilitate lung separation and to improve surgical manipulation. The patient tolerated the procedure well and was extubated to a tracheostomy collar with a 100% fraction of inspired oxygen delivered with 15 liters per minute of flow.
一名63岁男性，有慢性阻塞性肺疾病病史，曾行喉鳞状细胞癌喉切除术及气管造口术，现因肿瘤切除行机器人辅助右上叶切除术。体格检查发现，他在室内空气中存在中度低氧，脉搏血氧饱和度（SpO₂）为93%。为便于在手术侧肺进行潜在的无呼吸氧吹入和持续气道正压通气，经其气管造口置入一根传统的左侧35F双腔支气管导管，用于促进肺隔离并改善手术操作。患者对手术耐受良好，拔管后佩戴气管造口颈圈，吸入氧分数为100%，流速为每分钟15升。
