| Autor: |
Hasegawa, Takayuki, Obara, Shinju, Oishi, Rieko, Shirota, Satsuki, Honda, Jun, Kurosawa, Shin |
| Předmět: |
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| Zdroj: |
JA Clinical Reports; 4/29/2021, Vol. 7 Issue 1, p1-4, 4p |
| Abstrakt: |
Background: Patients with an anterior mediastinal mass are at risk of perioperative respiratory collapse. Case presentation: A 74-year-old woman with a large anterior mediastinal mass that led to partial tracheal collapse (shortest diameter, 1.3 mm) was scheduled for tracheobronchial balloon dilation and stent placement under general anesthesia. Although veno-venous extracorporeal membrane oxygenation (V-V ECMO) had been established, maximum flow was limited to 1.6 L/min, and general anesthesia induction was followed by hypoxia probably due to inadequate ventilation. A flexible bronchoscope was inserted through the tracheal lumen that was being compressed by the anterior mass; this not only increased tracheal patency but also enabled positive pressure ventilation and resulted in recovery from hypoxia. Scheduled procedures were successfully performed without complications. Conclusion: We describe a case wherein tracheal patency was transiently maintained by inserting a flexible bronchoscope in a patient with an anterior mediastinal mass. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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