Fernandes Luisa, Freitas Ana Catarina, Azevedo Mariana
Anaesthesiology, Hospital Central do Funchal, Funchal, PRT.
Cureus. 2024 Sep 18;16(9):e69668. doi: 10.7759/cureus.69668. eCollection 2024 Sep.
Tracheostomized patients who require one-lung ventilation represent a unique challenge for the anaesthesiologist: on the one hand, the need to protect the airway safely and, on the other, provide optimal lung isolation for surgery. A 65-year-old tracheostomized patient scheduled for an esophagectomy requiring one-lung ventilation raised a challenge in lung isolation using a bronchial blocker. The authors describe the strategies applied to overcome the obstacle and review lung isolation techniques in this type of patient.
对于需要进行单肺通气的气管切开患者，麻醉医生面临着独特挑战：一方面要安全保护气道，另一方面要为手术提供最佳的肺隔离。一名65岁计划行食管癌切除术且需要单肺通气的气管切开患者，在使用支气管封堵器进行肺隔离时遇到了挑战。作者描述了为克服这一障碍所采用的策略，并回顾了这类患者的肺隔离技术。
