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The hidden pouch: Anesthetic challenges in tracheal diverticula management – A case report 隐藏的气管憩室气管憩室管理中的麻醉挑战--病例报告
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.tacc.2024.101495
José Moreira , Patrícia Lima , Sérgio Pinto , Hélder Pereira , Patrícia Santos
Tracheal diverticula are uncommon anatomical anomalies characterized by air-filled outpouchings of the tracheal wall. While typically asymptomatic and incidentally discovered, tracheal diverticula can pose significant challenges in airway management during anesthesia.
We present the case of a 58-year-old female scheduled for microsurgical resection of meningioma. Preoperative imaging revealed a sizable tracheal diverticulum on the posterior tracheal wall, measuring 65 by 26 mm. An awake fiberoptic intubation approach was regarded as the safest approach for airway management. Several anatomical anomalies were identified during flexible bronchoscopy, including tracheomalacia and vascular malformations. Despite these challenges, successful intubation and anesthesia management were achieved without complications.
This case highlights the importance of thorough preoperative evaluation and careful planning in patients with tracheal diverticula, in order to prevent a crisis from difficult intubation, difficult ventilation or even rupture of the diverticulum.
气管憩室是一种不常见的解剖畸形,其特征是气管壁上有充满空气的小囊。虽然气管憩室通常无症状且偶然被发现,但在麻醉过程中可能会给气道管理带来重大挑战。我们介绍了一例计划进行脑膜瘤显微手术切除的 58 岁女性病例。术前造影显示气管后壁有一个很大的气管憩室,大小为 65 x 26 毫米。清醒纤支镜插管法被认为是最安全的气道管理方法。在柔性支气管镜检查中发现了几处解剖异常,包括气管畸形和血管畸形。本病例强调了对气管憩室患者进行全面术前评估和仔细规划的重要性,以防止因插管困难、通气困难甚至憩室破裂而发生危机。
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引用次数: 0
57 Failure to Ventilate through LMA During Surgery: Switching to Unanticipated Difficult Intubation due to Mass in the Upper Airway in an Adult 57 手术期间无法通过 LMA 通气:因成人上气道肿块而转为意料之外的困难插管
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101431
Pınar Ozdemir Yasar, Bengisu Koc, Irem Bengisu Ciflikli Salkımlı, Filiz Uzumcugil
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引用次数: 0
23 A Proposal for Airway Workshops Utilizing Simulation 23 关于利用模拟技术举办气道讲习班的建议
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101442
Anna Tchorzewska, Ajeesh Karthikeyan
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引用次数: 0
51 Airway management after head and neck radiation - Extreme care is never too much 51 头颈部放射治疗后的气道管理--极度小心也不为过
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101461
Carolina Dias, Joana Oliveira, Decio Pereira, Fatima Santos
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引用次数: 0
101 Beyond guidelines: a case report of combined FBS and VLS use for awake double lumen tube positioning 101 指南之外:联合使用 FBS 和 VLS 进行清醒双腔导管定位的病例报告
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101408
Laura Gassino, Marco Repetto, Giulio Luca Rosboch, Rita Cataldo, Ida Di Giacinto, Stefano Falcetta, Clelia Esposito, Massimiliano Sorbello, Luca Brazzi, Gerardo Cortese
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引用次数: 0
98 Comparison of high flow and standard nasal cannula oxygenation on respiratory parameters in pediatric burn sedoanalgesia 98 在小儿烧伤镇静镇痛中比较高流量和标准鼻插管吸氧对呼吸参数的影响
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101411
Seyma Er, Zeliha Tuncel, Ayten Saracoglu, Abdulatif Albasha, Kemal Tolga Saracoglu
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引用次数: 0
70 Successful application of THRIVE for laryngeal surgery with significantly obstructed airways 70 成功将 THRIVE 应用于气道严重阻塞的喉部手术
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101478
Denys Pokryshen, Dmytro Bezbah, Kostiantyn Sarnatskiy, Volodymyr Dzhus, Yuriy Minin
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引用次数: 0
12 Comparing aerosol exposure during bystander, pre-hospital, and inpatient CPR 12 比较旁观者、院前和住院患者心肺复苏过程中的气溶胶暴露情况
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101426
Hung Tzu-Yao, Lin Chieh-Hung, Li Shu-Sheng
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引用次数: 0
103 Anesthesia Management in Mandibular Distraction for a Tracheomalacia-Affected Pierre Robin Patient 103 为受气管麻痹影响的皮埃尔-罗宾患者进行下颌牵引时的麻醉管理
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101473
Pinar Ozdemir Yasar, Caglar Cakirkaptan, Aysun Ankay Yilbas, Begum Ercan, Ozgur Canbay
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引用次数: 0
109 Endotracheal tube cuff detachment secondary to patient bite during extubation as a potential life-threatening adverse airway event complicating emergence from general anesthesia 109 拔管时患者咬伤导致气管导管袖带脱落,这是全身麻醉术后并发的潜在危及生命的不良气道事件
IF 1.4 Q3 ANESTHESIOLOGY Pub Date : 2024-09-01 DOI: 10.1016/j.tacc.2024.101474
Ina Majić, Renata Curić Radivojević
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引用次数: 0
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Trends in Anaesthesia and Critical Care
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