El Hadi Nadine, Hosri Jad, Tulimat Tamam, Hadi Usamah
Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Department of General Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Saudi J Anaesth. 2024 Jul-Sep;18(3):438-441. doi: 10.4103/sja.sja_975_23. Epub 2024 Jun 4.
The authors have conducted a retrospective analysis based on two cases of patients with intra-tracheal pathologies who received treatment from the same surgeon at a tertiary referral center. The effective management of airways in patients with intra-tracheal lesions necessitates close collaboration between surgeons and anesthesiologists. Factors such as the size, location, rigidity of the tumor, and the remaining tracheal lumen space should be carefully considered. In situations where there is near complete obstruction of the trachea and a substantial risk of worsened respiratory function, resorting to cardiopulmonary bypass or extracorporeal membrane oxygenation is advisable. This pilot study aims at devising an algorithm for the airway management of intra-tracheal lesions, although a larger case cohort is needed to assess its applicability and effectiveness.
作者对在一家三级转诊中心由同一位外科医生治疗的两例气管内病变患者进行了回顾性分析。气管内病变患者气道的有效管理需要外科医生和麻醉医生密切合作。肿瘤的大小、位置、硬度以及剩余气管腔隙等因素应仔细考虑。在气管几乎完全阻塞且呼吸功能恶化风险很大的情况下，采用体外循环或体外膜肺氧合是可取的。这项初步研究旨在设计一种气管内病变气道管理的算法，不过需要更大的病例队列来评估其适用性和有效性。
