Bhutta Rayyan, Osman Ali, Henn Connor, Salah Hameed H, Patel Samir
Anesthesiology, Ohio University Heritage College of Osteopathic Medicine, Dublin, USA.
Anesthesiology and Perioperative Medicine, OhioHealth Doctors Hospital, Columbus, USA.
Cureus. 2025 Jul 24;17(7):e88659. doi: 10.7759/cureus.88659. eCollection 2025 Jul.
This case report describes the airway course of a 52-year-old male who required emergent exploratory laparotomy for suspected gastrointestinal perforation. The patient had underlying subglottic stenosis and unilateral vocal cord paralysis, as well as a history of significant cardiopulmonary disease. Attempts at intubation using standard tube sizes were unsuccessful. A 6.0 endotracheal tube was eventually passed beyond a point of resistance, allowing the operation to proceed. He remained intubated after surgery and was successfully extubated several days later. The report emphasizes the need for adaptable airway plans and highlights the constraints that may arise during urgent operative care.
本病例报告描述了一名52岁男性的气道情况，该患者因疑似胃肠道穿孔而需要紧急剖腹探查术。患者存在声门下狭窄和单侧声带麻痹，并有严重心肺疾病史。使用标准管径的气管插管尝试未成功。最终，一根6.0的气管导管越过阻力点插入，使手术得以进行。术后他一直处于插管状态，几天后成功拔管。该报告强调了制定适应性气道计划的必要性，并突出了紧急手术治疗期间可能出现的限制因素。
