PDF(Pubmed)
Abstract：
Encountering and managing an unanticipated difficult airway are among the many challenges faced by anaesthesiologists. Due to the intimate anatomical relationship between the thoracic vasculature and the trachea, an anatomical variation could potentially lead to airway compression. This clinical case report documents a failed intubation in an adult patient caused by undiagnosed extrinsic tracheal compression from the brachiocephalic arterial trunk, a rare condition. After a thorough investigation and diagnostic clarification, a safe anaesthetic plan following the predictable difficult airway guidelines was established to enable surgery. Anaesthesiologists should consider rare vascular causes as potential contributors to difficult airway scenarios, thereby enhancing their expertise.
摘要：
遇到和管理意想不到的困难气道是麻醉师面临的许多挑战之一。由于胸部血管和气管之间的紧密解剖关系，解剖变异可能导致气道受压.该临床病例报告记录了一名成年患者的插管失败，原因是头臂动脉干的气管外压迫未确诊。罕见的情况.经过彻底的调查和诊断澄清，我们根据可预测的困难气道指南制定了安全的麻醉计划,以便进行手术.麻醉医师应将罕见的血管原因视为气道困难情况的潜在原因。从而提高他们的专业知识。
