Anaesthetic Management of a Patient with Tracheal Mass: a Case Report

IF 0.4 4区 医学 Q4 SURGERY
Shefali Gautam, Shailendra Kumar Yadav, Shashank Kumar, Shruti Kabi, Yatendra Kumar
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Abstract

Primary tracheal tumour is a relatively rare condition. Resection of tracheal tumours is challenging as airway is shared between anaesthesiologist and surgeon for providing maximal surgical access while ensuring patent airway and oxygenation at the same time. We report a case of tracheal mass located below the vocal cord almost occluding the tracheal lumen. Awake fibreoptic-guided flexometallic endotracheal tube was placed for initial ventilation; subsequently, another flexometallic endotracheal tube was placed through an incision in the trachea below the tumour for ventilation during resection of tumour. The patient was successfully managed under general anaesthesia through our meticulous preparation and keen vigilance.

Abstract Image

气管肿块患者的麻醉处理:病例报告
原发性气管肿瘤是一种相对罕见的疾病。气管肿瘤切除术具有挑战性,因为麻醉师和外科医生需要共同使用气道,以提供最大的手术通路,同时确保气道通畅和氧合。我们报告了一例位于声带下方的气管肿块几乎堵塞气管腔的病例。在清醒状态下,我们在纤支镜引导下放置了可弯曲金属气管导管,用于初始通气;随后,我们通过肿瘤下方气管的切口放置了另一根可弯曲金属气管导管,用于肿瘤切除时的通气。通过我们的精心准备和高度警惕,患者在全身麻醉下得到了成功救治。
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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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