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首页> 外文期刊>Journal of Clinical and Diagnostic Research >One Lung Ventilation Using an OrotrachealTube and an Endobronchial Blocker in aPatient with Difficult Airwa
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One Lung Ventilation Using an OrotrachealTube and an Endobronchial Blocker in aPatient with Difficult Airwa

机译：使用困难的患者使用orotracheal管和内核障碍物的一种肺通气

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One-Lung Ventilation (OLV) is achieved in thoracic surgeries to facilitate collapse of one lung for better surgical visualisation. Double-lumen tubes and bronchial blockers are two commonly used devices for OLV. Patients with a€?difficult airwaya€? pose significant challenges for insertion of Double Lumen Endotracheal Tube (DLT). Dual malignancy such as carcinoma of lung and head and neck is extremely rare to present with. Patients presenting with restricted mouth opening due to previous surgeries and requiring lung isolation techniques may pose significant challenges to anaesthesiologist. The difficult airway scenario may arise in such patients owing to their previous surgery to the tongue, larynx, neck, mandible or previous radiation. The present case was of 47-year-old of lung isolation achieved in a patient with restricted mouth opening with an orotracheal tube, bougie, endobronchial blocker and a flexible Fibre Optic Bronchoscope (FOB). Left upper lobectomy was successfully performed after passing endobronchial blocker through a conventional orotracheal tube under the guidance of FOB.
机译：胸腔手术中的一肺通气（OLV）可促进一个肺的塌陷以进行更好的手术可视化。双腔管和支气管阻滞剂是OLV的两个常用装置。患者有€？困难的航空公司€？对插入双腔气管管（DLT）构成重大挑战。双重恶性肿瘤如肺和头部和颈部的癌，非常罕见呈现。由于先前的手术和需要肺隔离技术引起限制嘴开口的患者可能对麻醉师来说造成重大挑战。由于他们以前的手术到舌头，喉，颈部，下颌骨或以前的辐射，这些患者可能会出现困难的气道情景。目前案例是47岁的肺隔离，患者患有嘴气管管，布鬼，内胚层阻挡剂和柔性光纤支气管（FOB）的受限制口腔开口。通过在FOB的引导下通过常规的Orotcracheal管通过常规的Orotcracheal管成功进行左上叶片切除术。

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