Anesthesia management of thoracoscopic bullectomy for the treatment of tracheobronchomegaly:one case analysis
Tracheobronchomegaly is a rare clinical condition characterized by marked dilatation of the trachea and main bron-chi,where the mucosa protrudes in the shape of a fan to the cartilage ring,and in severe cases,with the formation of diverticula.The pa-tients are mainly young and middle-aged.As the disease progresses,some patients develop spontaneous pneumothorax and pestle finger due to the presence of pulmonary pustules and emphysema;respiratory failure may occur in the late stage of the disease.Anesthesiolo-gists find it challenging to decide on airway management tools for such patients with large tracheal rings undergoing elective thoracic surgery.The article reports the anesthetic management of a patient with tracheobronchomegaly,who presented smooth intraoperative he-modynamics,with high quality of postoperative awakening,and successfully returned to the ward after extubation.The experience of this case is summarized,in order to provide a warning and reference for the anesthetic management of this type of patients.
NETL
NSTL
万方数据
