Inada S, Takasu A, Shindo J, Koyama T, Minakuchi K, Nakamura T
Department of Anesthesiology, Ogaki Municipal Hospital.
Masui. 1998 Jul;47(7):856-60.
We experienced nine cases of general anesthesia for tracheobronchial stent insertion. As far as possible, we anesthetized the patients under spontaneous respiration with inhalation anesthesia, depending on the types of the tracheobronchial stent (Dumon stent or expandable metallic stent), or respiratory status of the patient. Having experienced a case requiring PCPS (percutaneous cardiopulmonary support) to recover from severe ventilatory insufficiency due to tracheal perforation, we, in advance, inserted 18- or 20-gage cannulas into the femoral artery and vein for PCPS standby, and could manage general anesthesia safely for tracheobronchial stent insertion.
我们共经历了9例气管支气管支架置入的全身麻醉。根据气管支气管支架的类型(杜蒙支架或可扩张金属支架)或患者的呼吸状况,我们尽可能在患者自主呼吸下采用吸入麻醉进行麻醉。由于曾有1例因气管穿孔导致严重通气不足而需要体外膜肺氧合(PCPS)来恢复的病例,我们预先在股动脉和静脉插入18号或20号套管以备PCPS,从而能够安全地实施气管支气管支架置入的全身麻醉。