导致改良气管导管的术中创新：全喉切除术造口的支气管内插管病例报告。

IF 1.1 Q3 ANESTHESIOLOGY

Annals of Cardiac Anaesthesia Pub Date : 2024-10-01 Epub Date: 2024-10-04 DOI:10.4103/aca.aca_11_24

Sarven Tersakyan, Gio Gemelga, Joseph Lee, Babak Mahyar, Alan Dean

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引用次数: 0

摘要

摘要：全喉切除术后气道给围手术期麻醉管理带来了挑战。虽然支气管内插管是一种常见的并发症，但低位造口可能会增加这种风险。此外，造口靠近胸骨正中切口也增加了手术和气道管理的复杂性。本报告重点介绍了一例低位造口患者进行支气管内插管的病例，该患者前来接受冠状动脉旁路移植手术。由于造口位于胸骨上缘，因此需要在术中进行创新，以防止气管内插管，同时保持在手术视野之外。这种创新在紧急手术情况下可能很有用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Intraoperative Innovation Leading to a Modified Endotracheal Tube: A Case Report of Endobronchial Intubation of Total Laryngectomy Stoma.

Abstract: The post-total laryngectomy airway poses perioperative challenges to anesthesia management. While endobronchial intubation is a cited complication, a low-lying stoma may increase this risk. Furthermore, the stoma's proximity to a median sternotomy increases surgical and airway management complexity. This report highlights a case of endobronchial intubation in a patient with a low-lying stoma who presented for coronary artery bypass graft. With a stoma at the upper border of the sternum, intraoperative innovation was required to prevent endobronchial intubation while remaining out of the surgical field. This innovation may be useful in urgent surgical situations.

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来源期刊

Annals of Cardiac Anaesthesia ANESTHESIOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

147

审稿时长

26 weeks

期刊介绍： Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.