Berrin IŞIK, Melis GÖKÇE, Nedim ÇEKMEN, Mehmet AKÇABAY, Alper CEYLAN, Cüneyt KURUL, Sedat DEMİRCAN

Yabancı cisim aspire etmiş larenjektomili hastada anestezik yaklaşım: Bir olgu nedeniyle

Yabancı cisim aspirasyonu (YCA) çocuklardaki kadar sık olmamakla birlikte erişkinlerde de görülebilen ve hayatı tehdit e-den acil bir durumdur. Ancak bazen semptomlar yıllarca gizli kalıp kronik bir tabloyla da ortaya çıkabilir. Erişkinlerde yabancı cisim aspirasyonu sıklıkla koruyucu hava yolu reflekslerinin ortadan kalktığı predispozan faktörlerin varlığında görülmektedir. Bu yazıda 6 ay önce larenks kanseri tanısıyla suprakrikoid larenjektomi yapılan, kalıcı trakeal stoması olan 56 yaşındaki erkek hastada, genel anestezi altında stoma revizyonu sırasında gelişen ani solunum yetersizliği kliniği sunuldu.

Anahtar Kelimeler:

Solunum yetmezliği, Erkek, Orta yaşlı, Yabancı cisimler, Larinjektomi

Anesthetic approach in patient with laryngectomy who aspirated foreign body (Case report)

Foreign body aspiration (FBA) can occur in children and adults and be life-threatening. Symptoms may remain indolent for years and it may present a chronic picture. Foreign body aspiration in adults is associated with the presence of predisposing factors that become active when the protective airway reflexes disappear. In this case report we present a 56-year-old male patient who had undergone a supracricoid laryngectomy six months before, leaving a permanent tracheal stoma. While under general anesthesia for revision oftracheal stoma respiratory failure developed.

Keywords:

Respiratory Insufficiency, Male, Middle Aged, Foreign Bodies, Laryngectomy,

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