Ismail A B
Can Anaesth Soc J. 1979 Mar;26(2):134-7. doi: 10.1007/BF03013784.
Surgical procedures involving sharing of the airway between the anaesthetist and surgeon, such as bronchoscopy, microlaryngeal surgery and tracheal resection impose special problems on the anaesthetist. The surgeon requires unrestricted surgical access, whereas the anaesthetist must ensure adequate and safe pulmonary ventilation and anaesthesia. This case report describes a two stage technique for management of the airway and ventilation during tracheal resection for stenosis. Initially a modified Carden tube with a ventilating injector was used through a tracheostomy stoma and subsequently an orotracheal tube was substituted. Anaesthesia was maintained entirely by the inravenous route. The surgical access was unrestricted and there was no pulmonary contamination.
涉及麻醉师和外科医生共同使用气道的外科手术，如支气管镜检查、显微喉手术和气管切除术，给麻醉师带来了特殊问题。外科医生需要不受限制的手术入路，而麻醉师必须确保充足且安全的肺通气和麻醉。本病例报告描述了一种在气管狭窄切除术中管理气道和通气的两阶段技术。最初，通过气管造口术造口使用带有通气注射器的改良卡登管，随后更换为经口气管导管。麻醉完全通过静脉途径维持。手术入路不受限制，且没有肺部污染。
