呼吸道 外体 - 何も残さない
Jeffrey Ng1, Christopher Thong1, Kay Choong See1
1Division of Respiratory and Critical Care Medicine, Department of Medicine National University Hospital Singapore Singapore.
Respirology case reports
|August 28, 2025
まとめ
このケースは,慢性的な呼吸器症状を持つ患者において,放射性外体 (FB) を考慮する重要性を強調しています. 硬直性および柔軟性ブロンコスコピーは,外周病変へのアクセスを促進する柔軟な技術で,FBの除去に有効です.
科学分野:
- 肺科
- 医療用イメージング
- 介入性ブロンコスコピー
背景:
- 慢性的な咳,呼吸困難,発熱は 喘息の悪化を模倣することができます.
- 放射性異体 (FB) は非特異的な呼吸器症状を伴う可能性があります.
- コンピュータートモグラフィー (CT) は,内気管内部のFBの診断に不可欠です.
研究 の 目的:
- 呼吸道外体に対する診断と管理の原理を説明する.
- 慢性呼吸器疾患における放射性呼吸道FBの差異診断を強調する.
- FB除去における硬性および柔軟性ブロンコスコピーの補完的な役割を強調する.
主な方法:
- コントラストコンピュータトモグラフィー (CT) スキャンは,2つの内気管内線外体 (FB) を特定した.
- 整体麻酔下での硬直支氣管検査が近接支氣管除去に用いられました.
- 同じセッションで,内側線管経由の柔軟性ブロンコスコピーを使用した.
主要な成果:
- 2つの線形外体 (FB) がCTスキャンで診断されました.
- 2つのFBの完全な除去は,硬体および柔軟性bronchoscopyの組み合わせを使用して達成されました.
- このケースは 困難な空気路FBシナリオの 成功した管理を示しています
結論:
- 慢性呼吸器症状の患者では,放射性外体 (FB) の診断を考慮する必要があります.
- 硬直性および柔軟性ブロンコスコピーは,呼吸道FB除去のための補完的なツールです.
- 空気管管理において,FBの完全な除去を確実にするのが標準的なやり方であるべきです.
関連する概念動画
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
77
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
77
Suctioning the Oropharyngeal Airway
375
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
375
Cardiopulmonary Resuscitation II: ACLS Airway Management
88
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
88
Suctioning the Nasopharyngeal Airway
924
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
924
Endotracheal Tube Extubation
1.4K
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
1.4K
Endotracheal Intubation I: Procedure
3.0K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
3.0K


