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Successful Placement of a Double-Lumen Tube Using an Airway Exchange Catheter-A Case Report

利用氣道置換通管成功爲一位困難插管的病人置入雙腔氣管支氣管內管之病例報告

摘要


一位74歲男性因肺癌住院接受右下肺葉切除手術,在麻醉誘導過程中,發生非預期性困難插管。在以光通條(light wand)置入氣管內管後,我們以氣道置換通管成功爲病人置入雙腔氣管支氣管內管,並順利完成手術。文中將討論在困難插管的病人要施行單肺換氣的適應症、方法及必須考慮的問題。另外,我們所使用的方法有何價值、局限性及可能併發症。

並列摘要


A 74-year-old male, a case of lung cancer, was arranged for right lower lobe lobectomy. However, unexpected difficult intubation was noted after induction of anesthesia. After intubation with a 7.0# ETT using light wand, a double-lumen tube (DLT) was successfully placed using an airway exchange catheter (AEC) and surgery was performed smoothly. What should be considered in a patient with a difficult airway who needs one-lung ventilation (OLV), and the indications and current methods of OLV, are discussed. Also, the value, limitations and possible complications of this method are discussed.

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