Saitoh K, Kasuda H, Hirabayashi Y, Mitsuhata H, Fukuda H, Igarashi T, Konishi R, Shimizu R
Department of Anesthesiology, Jichi Medical School, Tochigi.
Masui. 1998 Jul;47(7):875-6.
We report the management of anesthesia for emergent tracheostomy in a patient with severe tracheal stenosis. A 63-year-old male was scheduled for an emergency tracheostomy for severe tracheal stenosis due to the invasion of a thyroid cancer. A preoperative neck CT revealed the tracheal stenosis, extending from 1-2 cm below the vocal cord to the upper end of the sternum. The narrowest caliber was about 7 mm in transverse diameter. Moreover, the cancer was suspected to have a bleeding tendency. General anesthesia with endotracheal intubation was considered necessary to provide an open airway during tracheostomy. Anesthesia was induced with thiopental, and a 6.0 mm endotracheal tube with cuff was successfully introduced with a balloon introducer (AIRGUID E) using suxamethonium. We were able to perform tracheostomy uneventfully.
我们报告了一名严重气管狭窄患者紧急气管切开术的麻醉管理情况。一名63岁男性因甲状腺癌侵犯导致严重气管狭窄，计划进行紧急气管切开术。术前颈部CT显示气管狭窄，从声带下方1 - 2厘米延伸至胸骨上端。最窄处横径约为7毫米。此外，怀疑肿瘤有出血倾向。气管切开术期间需要气管内插管全身麻醉以提供开放气道。用硫喷妥钠诱导麻醉，使用琥珀胆碱通过球囊引导器（AIRGUID E）成功插入一根带套囊的6.0毫米气管导管。我们顺利完成了气管切开术。
