腔内气管浆细胞瘤麻醉处理的气道和血流动力学考虑。

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-03-01 DOI:10.1177/10892532221140235

Joseph E Morabito, Colby G Simmons, Giorgio Zanotti, John D Mitchell, Karsten Bartels, Barbara J Wilkey

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引用次数: 1

摘要

由于气管肿瘤引起的中央气道阻塞对麻醉师提出了独特的挑战。我们提出的情况下，44岁的男性采取或活检和切除一个未确诊的气管肿块。术中处理因出血和明显的血流动力学不稳定而复杂化，需要快速手术和麻醉干预。这最终导致手术切除流产。病理检查发现原发性气管浆细胞瘤，一种罕见的气管肿瘤。在这里，我们描述麻醉和血流动力学考虑气管浆细胞瘤。我们讨论了可变胸内气管阻塞和气管肿瘤的不可预测性的气道管理方法。

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Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma.

Central airway obstruction due to tracheal tumors presents unique challenges to the anesthesiologist. We present the case of a 44-year-old male taken to the OR for biopsy and resection of an undiagnosed tracheal mass. Intraoperative management was complicated by bleeding and significant hemodynamic instability, necessitating rapid surgical and anesthetic intervention. This ultimately led to abortion of surgical resection. Pathologic examination revealed a primary tracheal plasmacytoma, a rare type of tracheal tumor. Here, we describe anesthetic and hemodynamic considerations for a tracheal plasmacytoma. We discuss the approach to airway management in variable intrathoracic tracheal obstruction and the unpredictability of tracheal tumors.

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.