Difficult intubation and anesthetic management in an adult patient with undiagnosed congenital tracheal stenosis: a case report

被引：3

作者：

Song, Ji-A ^{[1
]}

Bae, Hong-Beom ^{[1
]}

Choi, Jeong-Il ^{[1
]}

Kang, Jeonghyeon ^{[1
]}

Jeong, Seongtae ^{[1
]}

机构：

[1] Chonnam Natl Univ Med Sch & Hosp, Dept Anesthesiol & Pain Med, 42 Jebong Ro, Gwangju 61469, South Korea

来源：

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2020年 / 48卷 / 04期

关键词：

Congenital tracheal stenosis; difficult intubation; preoperative evaluation; anesthesiologist; endotracheal tube; fiberoptic bronchoscopy; lesion; VIRTUAL BRONCHOSCOPY;

D O I：

10.1177/0300060520911267

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.

引用

页数：6

共 15 条

[1] Practice Guidelines for Management of the Difficult Airway An Updated Report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway [J].