Nishijima Y, Takahashi H, Taguchi N, Naito H
Department of Anesthesiology, University of Tsukuba.
Masui. 1993 Mar;42(3):455-7.
A 27 year old female patient with pulmonary adenoid cystic cancer was planned for emergency tracheotomy for hemoptysis and severe dyspnea. Six month previously she had a silicon tube (5.5 mm-ID, 40 mm in length) placed in her trachea, because of severe tracheal stenosis. Airway management by endotracheal intubation was deemed necessary during the tracheotomy. However, because of her tracheal narrowing, it was not possible to insert a usual endotracheal tube for adult. First, we made a 4.0 mm-ID endotracheal tube without cuff 12 cm in length (TUBE 1), and a 5.5 mm-ID tube 18 cm in length (TUBE 2). We inserted the TUBE 1 into the TUBE 2, and glued them with Aron-Alpha, making it 25 cm long. We could perform tracheotomy by intubating and wedging this tube into silicon tube.
一名27岁的肺腺样囊性癌女性患者因咯血和严重呼吸困难计划行紧急气管切开术。6个月前，由于严重气管狭窄，她在气管内放置了一根硅管（内径5.5 mm，长40 mm）。气管切开术期间认为有必要通过气管内插管进行气道管理。然而，由于她的气管狭窄，无法插入成人常用的气管内导管。首先，我们制作了一根内径4.0 mm、无套囊、长12 cm的气管内导管（导管1）和一根内径5.5 mm、长18 cm的导管（导管2）。我们将导管1插入导管2，并使用Aron-Alpha胶水将它们粘在一起，使其长度为25 cm。我们可以通过将这根导管插入并楔入硅管来进行气管切开术。
