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Providing one-lung ventilation in posttracheostomic tracheal stenosis for thoracoscopic plastic of the right diaphragm dome
- Source :
- Вестник анестезиологии и реаниматологии, Vol 18, Iss 5, Pp 76-81 (2021)
- Publication Year :
- 2021
- Publisher :
- NEW TERRA Publishing House, 2021.
-
Abstract
- The article is devoted to the consideration of a clinical case of providing artifcial one-lung ventilation for performing thoracoscopic plastic of the right dome of the diaphragm in a patient with grade 3 posttracheostomy cicatricial tracheal stenosis. The patient is presented after a new coronavirus infection COVID-19 from 2020, prolonged mechanical ventilation through a tracheostomy tube (74 days), the development of medium thoracic cicatricial tracheal stenosis of grade 3 (the lumen of the narrowest part of the trachea is 4 mm) after decannulation and the development of relaxation of the right dome of the diaphragm (according to CT data, the dome is located at the level of the IV intercostal space). The frst stage under conditions of combined general anesthesia and high-frequency ventilation of the lungs was performed to restore the lumen of the trachea by bougienage of the stenosis area with tubes of a rigid endoscope under the control of a fberoptic bronchoscope with further nasotracheal intubation with a thermoplastic single-lumen endotracheal tube with a diameter of 8.0 with a cuff. At the second stage, during thoracoscopic plastic of the right dome of the diaphragm, to provide artifcial one-lung ventilation, a bronchial blocker was used, introduced through the same endotracheal tube into the right main bronchus under the control of a fberoptic bronchoscope.
- Subjects :
- medicine.medical_specialty
one-lung ventilation
medicine.medical_treatment
Lumen (anatomy)
thoracoscopy
Critical Care and Intensive Care Medicine
medicine
tracheal stenosis
Mechanical ventilation
bronchial blocker
business.industry
RC86-88.9
Medical emergencies. Critical care. Intensive care. First aid
respiratory system
medicine.disease
Bronchial blocker
Surgery
Diaphragm (structural system)
Tracheal Stenosis
Stenosis
Anesthesiology and Pain Medicine
medicine.anatomical_structure
Right Main Bronchus
Emergency Medicine
Intercostal space
business
Subjects
Details
- Language :
- Russian
- ISSN :
- 25418653 and 20785658
- Volume :
- 18
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Вестник анестезиологии и реаниматологии
- Accession number :
- edsair.doi.dedup.....80db53cab9782810a20495c326be5fce