METHODS: A 94-year-old woman requiring emergency hemiarthroplasty of the hip under general anesthesia was admitted. Preoperative chest X-rays revealed dilation of the trachea and main bronchi, but the patient exhibited no respiratory symptoms. We diagnosed her with MKS and opted for an 8.0-mm-inner-diameter reinforced tracheal tube. We positioned the cuff in the subglottic area, inflating it while monitoring for air leakage. Throughout the surgery, adequate tidal volume was maintained.
CONCLUSIONS: Anesthesiologists must conduct a comprehensive evaluation of patients with MKS, including a review of chest radiographs, and establish a meticulous anesthesia plan prior to surgery.
方法:收治一名94岁女性,需要在全身麻醉下进行紧急人工髋关节置换术。术前胸部X光显示气管和主支气管扩张,但患者没有出现呼吸道症状。我们诊断她患有MKS,并选择了8.0毫米内径的增强型气管导管。我们把袖带放在声门下区,充气,同时监测空气泄漏。在整个手术中,保持了足够的潮气量。
结论:麻醉医师必须对MKS患者进行全面评估,包括胸部X光片的检查,并在手术前制定细致的麻醉计划。