The Use of a Fabricated Endotracheal Tube During an Acute Massive Pulmonary Hemorrhage: A Case Report.

IF 0.5 A&A Practice Pub Date : 2023-06-01 DOI:10.1213/XAA.0000000000001678
Todd A Schultz, Kathleen J Lee, Max Kohen, Todd Demmy, Nathaniel Ivanick
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Abstract

A massive pulmonary hemorrhage is an emergency that can lead to airway compromise and cardiovascular collapse. The goals of airway management are to isolate and protect the nonbleeding lung while providing a route for interventions to diagnose and control the bleeding site. We present a case of an adult male with a lung mass who underwent a bronchoscopy and cryobiopsy that was complicated by a massive pulmonary hemorrhage. We report the successful use of an elongated fabricated end-to-end endotracheal tube to manage his airway during this time-critical situation.

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人工气管内插管治疗急性肺大出血1例。
大量肺出血是一种紧急情况,可导致气道受损和心血管衰竭。气道管理的目标是隔离和保护未出血的肺,同时为诊断和控制出血部位提供干预途径。我们提出了一个病例的成年男性与肺肿块谁接受了支气管镜和冷冻活检,并合并了大量的肺出血。我们报告成功地使用拉长的制造端到端气管内管来管理他的气道在这个时间危急的情况下。
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A&A Practice
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.
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