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Anesthetic management of laser surgery with bronchial stenting for a tracheal tumor

机译：气管肿瘤支气管支气管的激光手术麻醉管理

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Anesthetic management during surgery for a tracheal tumor is extremely difficult in terms of airway management. We managed a patient with a tracheal tumor who was successfully treated without complication. The trachea of a 66-year-old woman was narrowed by a tumor to one-third of its original diameter, for which Nd-YAG laser surgery with insertion of an intratracheal Dumon stent was performed. Anesthesia was maintained with neuroleptanalgesia using fentanyl and droperidol, supplemented with a TCI infusion of propofol under spontaneous breathing. High frequency jet ventilation (HFJV) was prepared for intraoperative poor oxygenation and/or ventilation. The patient was able to maintain a good respiratory condition throughout the operation without special respiratory support, including use of HFJV. We conclude that the maintenance of spontaneous breathing is essential for anesthetic management in the present case, while an intraoperative airway strategy based on the preoperative breathing condition of the patient is also important.
机译：在气道管理方面，气管肿瘤的手术中的麻醉剂管理非常困难。我们用气管肿瘤进行了患者，他们已经成功治疗而无需并发症。 66岁女性的气管被肿瘤缩小到其原始直径的三分之一，对其插入肿瘤内支架的ND-YAG激光手术进行了。使用芬太尼和蜕膜与神经抑制剂维持麻醉，在自发的呼吸下补充有TCI输注异丙酚。为术中氧化和/或通风准备高频喷射通风（HFJV）。患者能够在整个操作中保持良好的呼吸状况，而无需特殊的呼吸载体，包括使用HFJV。我们得出结论，自发呼吸的维持对于本案中的麻醉管理至关重要，而基于患者术前呼吸状况的术中气道策略也很重要。

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