Anaesthetic management of tracheal tear

Trakeal yırtık nadir ancak doğru anatomik tanımlama ve perioperatif havayolu yönetimindekigüçlükler nedeniyle ölümcül olabilecek kadar ciddi bir hasardır. Bu vakaların tanınmasında yüksekklinik şüphe gerekir ve erken müdahale ile tedavi sonuçları daha iyidir. Anestezist, havayolunungüvenliği ve trakeanın tamiri sırasındaki güçlüklerin farkında olarak bu tür hastaları tedavietmelidir. Uygun planlama ve yedek planların oluşturulmasıyla bu tür hastalar başarılı bir şekildetedavi edilebilirler. Trakeanın tamiri sırasında, total intravenöz anestezi uygulanıp yırtığındistalindeki trakeaya endotrakeal tüp yerleştirilirken anestezik tedavinin modifiye edilmesigerekmektedir.

Trakeal yırtıkta anestezi yönetimi

Tracheal tear is an uncommon but a serious injury that may be lethal because of the difficulties ofaccurate anatomical diagnosis and perioperative airway management. A high degree of suspicionis essential to identify these cases and early intervention is associated with better outcome. Theanaesthesiologist managing such a case should be aware of the difficulties during securing theairway and during repair of trachea. Proper planning and keeping back up plans ready helps insuccessful management of these patients. The anaesthetic management needs to be modifiedduring repair of the trachea by using total intravenous anaesthesia and insertion of an endotrachealtube in the trachea distal to the tear.

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