Near total intrathoracic airway obstruction managed with a Tritube ® and flow-controlled ventilation.

Autor: Mallam L; Department of Anaesthesia Poole Hospital NHS Trust Poole United Kingdom., Massingberd-Mundy D; Department of Anaesthesia Poole Hospital NHS Trust Poole United Kingdom., Girgis M; Department of Anaesthesia Poole Hospital NHS Trust Poole United Kingdom., De Zoysa N; Department of Head & Neck Surgery Poole Hospital NHS Trust Poole United Kingdom.
Jazyk: angličtina
Zdroj: Anaesthesia reports [Anaesth Rep] 2022 Feb 28; Vol. 10 (1). Date of Electronic Publication: 2022 Feb 28 (Print Publication: 2022).
DOI: 10.1002/anr3.12156
Abstrakt: We describe the management of a case of near total airway obstruction in a 79-year-old man who presented with a 2-week history of increasing shortness of breath and stridor. Computed tomography imaging revealed a mid-tracheal mass of unknown aetiology with critical airway obstruction. We secured the patient's airway using a TriTube ® (Ventinova, Eindhoven, the Netherlands). While this facilitated a secure airway past the lesion, various issues were encountered which complicated the safe conduct of anaesthesia. We conclude that while the TriTube and Evone ® flow-controlled ventilation (Ventinova) are useful for critical airway obstruction, they can be problematic and thorough planning is essential.
(© 2022 Association of Anaesthetists.)
Databáze: MEDLINE
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