An Alternative Method for Airway Management With Combined Tracheal Intubation and Rigid Bronchoscope.
Ann Thorac Surg
; 107(6): e435-e436, 2019 Jun.
Article
em En
| MEDLINE
| ID: mdl-30738796
ABSTRACT
An innovative technique for airway management, using a small-diameter, short-cuffed orotracheal tube for assisting rigid bronchoscopy in critical airway obstruction is reported. The device, part of the translaryngeal tracheostomy kit, "Fantoni method" (DAR TLT, Covidien, Minneapolis, MN), was placed beyond the stenosis and used in combination with the rigid bronchoscope. This procedure improves safety during the management of critical tracheal stenoses because the airway is constantly under the anesthesiologist's control. Consequently, inhalation anesthesia is feasible, use of neuromuscular blockade is possible, end-tidal carbon dioxide monitoring is reliable, and the distal airway is protected from blood and debris soilage during tumor debulking. Surgery is faster because it is uninterrupted.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estenose Traqueal
/
Broncoscópios
/
Obstrução das Vias Respiratórias
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Manuseio das Vias Aéreas
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Intubação Intratraqueal
Limite:
Humans
Idioma:
En
Revista:
Ann Thorac Surg
Ano de publicação:
2019
Tipo de documento:
Article