Expiratory Central Airway Collapse and Dynamic Hyperinflation During Peroral Endoscopic Myotomy: A Case Report.
| Autor: | Nielsen EI; From the Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada., Tresierra S; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada., Cenkowski M; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada., Bechara R; Department of Medicine, Division of Gastroenterology, Queen's University, Kingston, Ontario, Canada., Klar G; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada., Mizubuti GB; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | A&A practice [A A Pract] 2024 Jun 06; Vol. 18 (6), pp. e01799. Date of Electronic Publication: 2024 Jun 06 (Print Publication: 2024). |
| DOI: | 10.1213/XAA.0000000000001799 |
| Abstrakt: | In tracheobronchomalacia, the structural weakening of the airway results in altered ventilatory mechanics. This case report describes a patient with known tracheobronchomalacia who experienced expiratory central airway collapse and dynamic pulmonary hyperinflation during peroral endoscopic myotomy (POEM) to treat symptomatic achalasia. We discuss the physiological considerations and potential complications of a POEM procedure with superimposed tracheobronchomalacia and present perioperative strategies for the prevention and management of this potentially deleterious combination. Although tracheobronchomalacia was a known condition in our patient, it is likely an underdiagnosed condition that may first present intraoperatively. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 International Anesthesia Research Society.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|