Morais Diogo, Cordeiro Armando, Rêgo Sara
Anesthesiology, Unidade Local de Saúde de Trás-os-Montes e Alto Douro (ULSTMAD), Vila Real, PRT.
Anesthesiology, Unidade Local de Saúde do Nordeste, Bragança, PRT.
Cureus. 2025 Aug 22;17(8):e90723. doi: 10.7759/cureus.90723. eCollection 2025 Aug.
The Frova Intubating Introducer is widely used in airway management, although it carries risks such as barotrauma and airway injury, especially when over-inserted (>26cm) or used for oxygen delivery (>2 L/min). We report a case of a 70-year-old woman with a substernal goiter and chronic obstructive pulmonary disease who developed bilateral pneumothorax, pneumomediastinum, and subcutaneous emphysema after open thyroidectomy and extubation over a Frova catheter. Emergent reintubation and chest drainage were required. Although a tracheal tear was suspected, it was not confirmed. The patient recovered fully with conservative treatment. Our report highlights the need for caution when using airway exchange catheters in patients with challenging anatomical airways and close post-extubation monitoring.
弗罗瓦插管引导器广泛应用于气道管理，尽管它存在诸如气压伤和气道损伤等风险，尤其是在插入过深（>26厘米）或用于输氧（>2升/分钟）时。我们报告一例70岁女性患者，患有胸骨后甲状腺肿和慢性阻塞性肺疾病，在开放性甲状腺切除术后通过弗罗瓦导管拔管后出现双侧气胸、纵隔气肿和皮下气肿。需要紧急重新插管和胸腔引流。尽管怀疑有气管撕裂，但未得到证实。患者经保守治疗后完全康复。我们的报告强调，在解剖气道具有挑战性的患者中使用气道交换导管时需要谨慎，并在拔管后进行密切监测。
