Y Reverse: Modified technique in challenging airway management

Autor: Gaetana Messina, Giovanni Natale, Davide Gerardo Pica, Giuseppe Vicario, Noemi Maria Giorgiano, Rosa Mirra, Vincenzo Di Filippo, Beatrice Leonardi, Francesca Capasso, Francesco Panini D'Alba, Riccardo Vinciguerra, Alessia Caputo, Maria Antonietta Puca, Mario Pirozzi, Ciro Balbo, Sara Di Lorenzo, Stefano Farese, Giovanni Liguori, Giovanni Vicidomini, Giovanni Messina, Alfonso Fiorelli, Fortunato Ciardiello, Morena Fasano
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Thoracic Cancer, Vol 15, Iss 34, Pp 2428-2436 (2024)
Druh dokumentu: article
ISSN: 1759-7714
1759-7706
DOI: 10.1111/1759-7714.15440
Popis: Abstract Introduction Self‐expanding Y‐metal stents (SEMS) are best suited lesions with involvement of the carina and proximal main bronchi; however, Y‐stents can be difficult to place. These difficulties guided us to develop a modification of the classic technique that addresses some of the challenges during positioning. We present the Y reverse technique for Y stent insertion using a combination of rigid and flexible bronchoscopy. Materials and Methods This retrospective study included 15 consecutive patients, suffering from tracheal‐carina‐lower main bronchi complex, hospitalized at the Thoracic Surgery Unit of the Vanvitelli University of Naples between October 2021 and October 2023. Inclusion criteria: patients in which the length of the stenosis of the right bronchi was greater than that of the left bronchi, advanced oncological conditions, severe respiratory failure; exclusion criteria: Karnofsky scale with
Databáze: Directory of Open Access Journals
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