气管切除用于输管后/气管切除术后的气管狭窄症
Joshua Crane1, Toyokazu Endo2, Matthew Fox2
1Department of Cardiovascular and Thoracic Surgery, University of Louisville, 201 Abraham Flexner Way # 1200, Louisville, KY 40202, USA.
Thoracic surgery clinics
|November 8, 2024
概括
气管狭窄,是长时间输管或气管切除术的并发症,导致呼吸道阻塞. 当内镜治疗失败时,外科气管切除和重建提供了持久的解决方案.
科学领域:
- 医学 医学 医学 医学 医学
- 手术 手术 手术 术 术
- 肺部病理学 肺部病理学
背景情况:
- 输管后和气管切除术后的气管狭窄是长期呼吸道管理的已知并发症.
- 患者通常会出现由于严重的气道损害而导致的和呼吸障碍.
研究的目的:
- 突出气管切除和重建作为气管狭窄的有效治疗方法.
- 强调内镜治疗失败后手术干预的耐用性和安全性.
主要方法:
- 对气管狭窄症的临床表现和治疗结果的审查.
- 与内镜方法相比,气管切除和重建的疗效分析.
主要成果:
- 气管狭窄可以导致严重的呼吸道症状.
- 手术干预为复杂病例提供了持久的解决方案.
结论:
- 气管切除和重建是可行的和持久的治疗选择,用于输管后/气管切除气管狭窄.
- 当内镜疗法不足时,手术管理提供了一个低风险,有效的替代方案.
相关概念视频
Tracheostomy: Procedure and Tubes
415
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...
415
Trachea
1.6K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
1.6K
Tracheostomy Decannulation
115
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
115
Tracheostomy Care I: Pre-procedural Steps
135
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
135
Endotracheal Tube Extubation
422
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....
422
Oxygen Delivering System III: Tracheostomy and T-piece
513
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...
513


