PDF(Pubmed)
Abstract：
Airway compression resulting from thoracic tumors requires evaluation of the possibility of fatal ventilation failure when securing the airway. A woman presenting with a thoracic mass on the right side causing airway compression at the level of tracheal bifurcation required tumor removal to alleviate the compression; however, securing the airway proved challenging. Furthermore, differential lung ventilation was necessary for surgical management. We planned to secure the airway and manage breathing with the assistance of veno-arterial extracorporeal membrane oxygenation (V-A ECMO) through an interdisciplinary conference and proceeded according to the plan. The intended tracheal tube could be placed, differential lung ventilation was initiated, and the ECMO was removed. The surgical procedure was carried out. In patients presenting with airway stenosis, the possibility of difficulty in securing the airway and ventilation should be assessed in advance. Creating a detailed treatment plan before surgery is recommended.
摘要：
胸部肿瘤引起的气道压迫需要在固定气道时评估致命的通气失败的可能性。右侧胸部肿块导致气管分叉处气道压迫的女性需要切除肿瘤以减轻压迫；然而，确保气道具有挑战性。此外，不同的肺通气是必要的手术管理.我们计划通过跨学科会议在静脉-动脉体外膜氧合（V-AECMO）的协助下确保气道安全并管理呼吸，并按计划进行。可以放置预期的气管导管，开始进行差异肺通气，ECMO被移除。进行了外科手术。在出现气道狭窄的患者中，应事先评估气道安全和通气困难的可能性.建议在手术前制定详细的治疗计划。
