気管支形成術の麻酔経験

概要

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A 34-year-old man suffering from bronchial tuberculosis came to us for treatment of chronic coughing, sputum discharge and dyspnea. Severe stenosis was discovered in the right bronchus by tomography, bronchography and bronchial fiberscopy. Reconstruction of the right bronchus was performed under neuroleptanesthesia supplemented with epidural anesthesia. During the reconstruction of right bronchus, unilateral ventilation was done inserting a tracheal tube into the left bronchus with the aid of the surgeon; hypoxia and hypercapnia did not occur. The operation was uneventful. Here, the problems of anesthetic management of tracheo-bronchial reconstruction were reported.
学校法人昭和大学・昭和医学会の論文