関連する実験動画
Updated: Sep 9, 2025

08:26
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
6.5K
胸管置換の希少な合併症: リキュアントな喉頭神経麻痺
Anna-Maria Mielke1,2, Vera Jaecker1, Ulrich Stöckle1
1Centrum für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin Berlin, Berlin, Deutschland.
Zeitschrift fur Orthopadie und Unfallchirurgie
|September 1, 2025
まとめ
胸腔管の挿入は めったに喉頭神経麻痺を 引き起こすことはありません 肺の頂点の近くに 精密な管を配置することは この珍しい神経学的合併症を回避するために 極めて重要です
科学分野:
- 胸部 外科
- 神経学
- 放射線科
背景:
- 胸腔管の位置付けは 胸部外傷の標準です
- 神経関連の合併症は稀ですが,重大なものです.
- 喉頭神経麻痺の再発は この手順の 文書化されていない合併症です
研究 の 目的:
- 胸管の不整合による 喉頭神経麻痺を報告する
- 肺の上部にチューブを正確に 置くことの重要性を強調するために
主な方法:
- 47歳の男性 胸部外傷の症例報告
- 管の位置と神経の関与を評価するための臨床評価とCT画像.
- 治療には胸管の位置変更,コルチコステロイド,スピーチセラピーが含まれていました.
主要な成果:
- 患者さんは 喉頭神経麻痺と診断されました
- 胸管の先が肺頂部にある 喉神経に隣接していることがわかりました
- 症状はチューブの位置変更と治療後に消えた.
結論:
- 胸管の誤った位置は 発作性喉神経麻痺のような 神経学的合併症に繋がる
- 管の位置に注意を払うことは,特に肺の頂点に注意を払うことは不可欠です.
- 神経学的合併症の疑いがある場合は,迅速な放射線診断が推奨されます.
さらに関連する動画
関連する概念動画
Pneumothorax-II
352
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
352
Tracheostomy: Procedure and Tubes
1.2K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.2K
Oxygen Delivering System III: Tracheostomy and T-piece
2.3K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
2.3K
Pneumothorax-I
340
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
340
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
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

