Department of Cardiac Anaesthesia, Seth GSMC and KEMH, Mumbai, Maharashtra, India.
Consultant, Department of Anaesthesia, Gleneagles Global Health City, Perumbakkam, Chennai, Tamil Nadu, India.
Ann Card Anaesth. 2024 Oct 1;27(4):379-382. doi: 10.4103/aca.aca_47_24. Epub 2024 Aug 28.
We report a case of successful airway management of a 26-year-old male patient who was posted for tracheal mass excision. The main challenge in such a case is to formulate a plan to provide maximum surgical access to the trachea for mass excision through an intraoral approach while ensuring adequate oxygenation and airway management. The patient presented with acute respiratory distress in the emergency ward. On computed tomography (CT), the patient was diagnosed with a polypoidal tracheal tumor occluding more than 90% of the tracheal lumen and 5.8 cm away from the carina. The case was successfully managed using a peripheral bypass for airway management. After the removal of the tumor, a tracheostomy tube was placed through the tracheotomy hole used for tumor excision. The whole process was uneventful.
我们报告了一例 26 岁男性患者的成功气道管理病例，该患者拟行气管肿块切除术。此类病例的主要挑战在于制定计划，通过经口入路为气管肿块切除术提供最大的手术通道，同时确保充足的氧合和气道管理。该患者因急性呼吸窘迫症被收入急诊病房。计算机断层扫描（CT）显示，患者患有息肉样气管肿瘤，堵塞了超过 90%的气管腔，距离隆突 5.8 厘米。该病例通过外周旁路成功进行了气道管理。肿瘤切除后，通过用于肿瘤切除的气管切开孔放置了气管造口管。整个过程顺利。
