麻醉期间防止术中支气管源性囊肿液体溢入气道的注意事项:1例报告。

IF 0.5

A&A Practice Pub Date : 2022-10-11 eCollection Date: 2022-10-01 DOI:10.1213/XAA.0000000000001625

Molli Kiran, Rhea Thotungal, Jai Prakash Sharma, Sri Rama Ananta Nagabhushanam Padala, Jitendra Kushwaha, Surendra Singh Yadav

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引用次数: 0

摘要

在支气管源性囊肿患者中，有报道称在麻醉和手术过程中，囊肿内容物会渗漏到气道中。预防这种并发症的方法尚无定论。一位21岁的男性，因有一个巨大的支气管源性囊肿，在麻醉诱导后立即出现大量化脓性液体溢入气道，计划行囊肿切除术。这是由于囊肿和支气管树之间现有的通信被揭露。术前经皮引流囊肿内容物，清醒插管，在麻痹和定位患者前用支气管阻滞剂进行肺部隔离可能会有所帮助。

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Considerations to Prevent Intraoperative Fluid Spillage Into the Airway From a Bronchogenic Cyst During Anesthesia: A Case Report.

In patients with bronchogenic cysts, spillage of cyst contents into the airway during anesthesia and surgery has been reported. Methods to prevent this complication are not definitive. A 21-year-old man with a large bronchogenic cyst was scheduled for cyst excision during which large quantities of purulent fluid spilled into the airway immediately after induction of anesthesia. This was due to unmasking of the existing communication between the cyst and the bronchial tree. Preoperative percutaneous drainage of the cyst contents, awake intubation, and lung isolation with a bronchial blocker before paralyzing and positioning the patient may be helpful.

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.