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首页> 美国卫生研究院文献>Journal of Thoracic Disease >Bronchial lumen is the safer route for an airway exchange catheter in double-lumen tube replacement: preventable complication in airway management for thoracic surgery
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Bronchial lumen is the safer route for an airway exchange catheter in double-lumen tube replacement: preventable complication in airway management for thoracic surgery

机译：支气管腔是双腔管置换中气道交换导管的更安全途径：胸外科手术中可预防的并发症

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摘要

There is no current consensus on which lumen an airway exchange catheter (AEC) should be passed through in double-lumen endotracheal tube (DLT) to exchange for a single-lumen endotracheal tube (SLT) after thoracic surgery. We report an unusual case to provide possible solution on this issue. A 71-year-old man with lung adenocarcinoma had an event of a broken exchange catheter used during a DLT replacement with a SLT, after a video-assisted thoracic surgery. The exchange catheter was impinged at the distal tracheal lumen and snapped during manipulation. All three segments of the catheter were retrieved without further airway compromises. Placement of airway tube exchanger into the tracheal lumen of double-lumen tube is a potential contributing factor of the unusual complication. We suggest an exchange catheter be inserted into the bronchial lumen in optimal depth with the adjunct of video laryngoscope, as the safe method for double-lumen tube exchange.
机译：目前尚无共识，在胸腔镜手术后应在双腔气管插管（DLT）中穿通气管交换导管（AEC）以换成单腔气管插管（SLT）。我们报告了一种不寻常的情况，以提供对此问题的可能解决方案。在电视辅助胸腔镜手术后，一名71岁的肺腺癌男子在用SLT替代DLT期间发生换尿管断裂的事件。更换导管撞击在气管远端腔并在操作过程中折断。收回了导管的所有三个部分，而没有进一步的气道损害。将气管交换器放置在双腔管的气管腔内是引起异常并发症的潜在因素。我们建议在视频喉镜的辅助下，以最佳深度将交换导管插入支气管腔，作为双腔管交换的安全方法。

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