Patel Sheel, Mohammadi Daniel K, Morgan Clinton T
Division of Cardiothoracic Surgery, Department of Surgery, University of Kentucky, Lexington, Kentucky.
Ann Thorac Surg Short Rep. 2023 Dec 14;2(2):200-202. doi: 10.1016/j.atssr.2023.11.027. eCollection 2024 Jun.
Postoperative positive pressure ventilation (PPV) can contribute to failure of large intrathoracic airway repairs. We report a case of a 67-year-old woman with severe emphysema who presented with an unstable airway and mediastinitis after full-length transmural intrathoracic tracheal intubation injury. After repair, neither extubation nor PPV distal to the repair was feasible. To promote healing, we used prolonged venovenous extracorporeal membrane oxygenation (13 days) without any postoperative PPV. To our knowledge, this approach has not been previously described but may prove invaluable in select patients.
术后正压通气（PPV）可能导致胸段大气道修复失败。我们报告一例67岁重度肺气肿女性患者，其因胸段气管全层经壁插管损伤后出现气道不稳定和纵隔炎。修复术后，修复部位远端既无法拔管也无法进行PPV。为促进愈合，我们使用了延长的静脉-静脉体外膜肺氧合（13天），术后未进行任何PPV。据我们所知，这种方法此前尚未见报道，但可能对特定患者非常有用。
