在一名多发性巨大鼓包患者的麻醉苏醒过程中有效使用声门上气道（i-gel™）。

IF 0.8 Q3 ANESTHESIOLOGY

JA Clinical Reports Pub Date : 2024-11-28 DOI:10.1186/s40981-024-00757-6

Hayato Arime, Takashi Asai, Asuka Fujishiro, Tomoyuki Saito

{"title":"在一名多发性巨大鼓包患者的麻醉苏醒过程中有效使用声门上气道（i-gel™）。","authors":"Hayato Arime, Takashi Asai, Asuka Fujishiro, Tomoyuki Saito","doi":"10.1186/s40981-024-00757-6","DOIUrl":null,"url":null,"abstract":"Background: Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia.Case presentation: A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command.Conclusion: We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae.","PeriodicalId":14635,"journal":{"name":"JA Clinical Reports","volume":"10 1","pages":"73"},"PeriodicalIF":0.8000,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604887/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae.\",\"authors\":\"Hayato Arime, Takashi Asai, Asuka Fujishiro, Tomoyuki Saito\",\"doi\":\"10.1186/s40981-024-00757-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia.Case presentation: A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command.Conclusion: We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae.\",\"PeriodicalId\":14635,\"journal\":{\"name\":\"JA Clinical Reports\",\"volume\":\"10 1\",\"pages\":\"73\"},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2024-11-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11604887/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JA Clinical Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1186/s40981-024-00757-6\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ANESTHESIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JA Clinical Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s40981-024-00757-6","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景：由于呼吸系统并发症的风险增加，对多发性巨大脑泡患者进行麻醉管理通常比较困难，而且关于安全拔管的方法尚未达成共识。我们报告了一例在麻醉中使用双腔支气管的多发性巨大鼓包患者麻醉苏醒时有效使用声门上气道（i-gel™）的病例：一名患有多发性巨大鼓包的 52 岁男子接受了视频辅助肺切除术，当时通过双腔支气管控制通气。胸腔镜手术成功后，在双腔管仍在位的情况下插入了 i-gel™，随后在深度麻醉下拔出了双腔管。在患者能够对口令做出反应后，i-gel™被移除，没有出现并发症：我们相信，这种方法可以最大限度地降低多发性巨大鼓室患者在麻醉苏醒过程中呼吸系统受到创伤的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae.

Background: Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia.

Case presentation: A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command.

Conclusion: We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

JA Clinical Reports ANESTHESIOLOGY-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.