■关于电视胸腔镜手术治疗全位倒位(SIT)患者肺部恶性肿瘤的报道有限。SIT患者有显著的解剖差异,对手术有重要意义。麻醉,和护理了解,以便为该患者人群提供护理。
■一名患有SIT和肺腺癌的64岁男子需要进行柔性支气管镜检查和右上叶9×8mm腺癌的楔形切除术,并接受了电视胸腔镜手术。
■术前计划,包括与手术团队的合作,允许安全监控,麻醉诱导,并对该患者进行气道隔离,使他们能够成功切除肺部恶性肿瘤。通过详细的沟通和了解患者的解剖结构以及这种情况对麻醉后护理单元护理的影响,加强了术后护理。
■具有罕见临床状况和背景的患者可能需要手术和麻醉干预。作者描述了术前评估的重要麻醉注意事项,气道管理,心脏监测,以及SIT患者应注意和考虑的血管通路。适当的准备,规划,和通信允许SIT患者安全地接受外科手术。
UNASSIGNED: Reports are limited on video-assisted thoracoscopic surgery for lung malignancy of patients with situs inversus totalis (SIT). Patients with SIT have significant anatomic differences with implications that are important for surgery, anesthesia, and nursing to understand in order to provide care for this patient population.
UNASSIGNED: A 64-year-old man with SIT and lung adenocarcinoma needed flexible bronchoscopy and wedge resection of a 9×8 mm adenocarcinoma in the right upper lobe and underwent video-assisted thoracoscopic surgery.
UNASSIGNED: Preoperative planning, including collaboration with the surgical team, allowed safe monitoring, induction of anesthesia, and airway isolation in this patient allowing them to have successful resection of their pulmonary malignancy. Postoperative care was enhanced by detailed communication and understanding of the patient\'s anatomy and implications of this condition for post anesthesia care unit nursing care.
UNASSIGNED: Patients with rare clinical conditions and backgrounds may require surgical and anesthetic intervention. The authors describe important anesthetic considerations of preoperative evaluation, airway management, cardiac monitoring, and vascular access that should be noted and taken into account for patients with SIT. Proper preparation, planning, and communication allow for patients with SIT to safely undergo surgical procedures.