Olga L Bednarek, Brendan E Morgan, Andrei Khorovets, Madelaine M Plourde, Daniel G French
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引用次数: 0
Abstract
Purpose: To describe our experience using transthoracic ventilation to facilitate oral endotracheal tube (ETT) exchange after accidental ETT cuff rupture during a case of congenital tracheoesophageal fistula (TEF) repair.
Clinical features: A 53-yr-old male underwent a congenital H-type TEF repair via right-sided thoracotomy with a single-lumen ETT and a bronchial blocker. A large air leak developed after ETT cuff rupture during fistula closure. Transthoracic intubation via tracheotomy was performed to continue ventilation during an oral ETT exchange in the lateral position. No hypoxia or hemodynamic compromise occurred.
Conclusions: Airway device choice for TEF repair must be carefully considered in conjunction with the surgical team. In the present case of accidental ETT cuff rupture, rescue transthoracic ventilation safely facilitated oral ETT exchange.
目的：描述我们在一例先天性气管食管瘘（TEF）修补术中意外造成 ETT 袖套破裂后使用经胸通气促进口腔气管导管（ETT）交换的经验：一名 53 岁的男性通过右侧开胸手术接受了先天性 H 型 TEF 修复术，术中使用了单腔 ETT 和支气管阻断器。在关闭瘘管过程中，ETT 袖套破裂后出现大量漏气。通过气管切开术进行经胸插管，以便在侧卧位口服 ETT 交换期间继续通气。没有发生缺氧或血流动力学损害：结论：TEF 修复术中气道装置的选择必须与手术团队共同仔细考虑。在本例 ETT 袖套意外破裂的病例中，抢救性经胸通气安全地促进了口腔 ETT 交换。
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