在患有赛伯气管患者的 laparoscopic 手术期间的气道管理: 一个案例报告
Hibiki Saito1, Koichi Maruyama1, Asako Iwashita1
1Anesthesiology, Mizonokuchi Hospital, Teikyo University School of Medicine, Kawasaki, JPN.
Cureus
|March 3, 2026
概括
赛伯盖气管,一种常见于COPD患者的病症,会给呼吸道管理带来挑战. 在胃癌手术中,ProSeal喉膜呼吸道 (PLMA) 证明有效,避免了气管管道输液并发症.
科学领域:
- 麻醉学 麻醉学
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
背景情况:
- 剑气管涉及胸腔气管的扩散狭窄,在COPD患者中很常见.
- 它结合了气管狭窄和气管缩的特征,使呼吸道管理复杂化.
- 在这些患者中,标准气管输管可能会带来风险.
研究的目的:
- 为了描述一个接受重大手术的患有 saber-sheath气管患者的成功呼吸道管理.
- 为了评估一个supraglottic气道装置在这个特定的临床场景的适用性.
主要方法:
- 一名78岁的患有胃癌的男性接受了机器人辅助全胃切除术.
- 一般麻醉与胸部外周麻醉相结合.
- 一个ProSeal喉膜口罩气道 (PLMA) 用于手术内气道管理.
主要成果:
- 在ProSeal喉膜口罩气道 (PLMA) 促进了顺的手术内机械通风.
- 在自发通风恢复或麻醉后出现的过程中没有发生气管缩.
- 选择的气道装置有效地管理了患者受损的气道.
结论:
- 带有食道排水的第二代膜上空气道装置可能是患有 saber-sheath气管患者的呼吸道管理的可行替代方案.
- 在这种情况下,这种方法可能会减轻与气管管道输入相关的风险.
相关概念视频
Trachea
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 the...
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 the...
Tracheostomy: Procedure and Tubes
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...
Tracheostomy Care I: Pre-procedural Steps
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:
Tracheostomy Suctioning I: Pre-Procedural Steps
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Endotracheal Intubation I: Procedure
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...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
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 interventions are...


