Amjad Afnan, Mansoor Faraz, Khan Fattahullah, Khan Shehzad, Mairaj Aysha
Anesthesia and Critical Care, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Peshawar, PAK.
Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Peshawar, PAK.
Cureus. 2024 Apr 12;16(4):e58158. doi: 10.7759/cureus.58158. eCollection 2024 Apr.
Tracheal perforation following oesophagectomy is a very rare and occasionally life-threatening condition that requires a high degree of suspicion and early intervention for optimal patient outcomes. This article presents a case report of a 46-year-old male who presented with respiratory failure secondary to tracheal perforation at the level of carina following a two-stage oesophagectomy. He underwent a second emergency procedure; the airway was secured with a left-sided double-lumen tube, and tracheal perforation was successfully repaired. This case report will briefly cover the challenges and difficulties faced by anesthetists in the airway management, ventilation, and hemodynamic instability of such patients.
食管切除术后气管穿孔是一种非常罕见且偶尔会危及生命的情况，需要高度怀疑并尽早干预以实现最佳的患者预后。本文报告了一例46岁男性患者，该患者在两阶段食管切除术后，在隆突水平出现气管穿孔继发呼吸衰竭。他接受了第二次急诊手术；通过左侧双腔管确保气道安全，气管穿孔得以成功修复。本病例报告将简要介绍麻醉医生在此类患者气道管理、通气和血流动力学不稳定方面面临的挑战和困难。
