A Case of Anesthesia for Tracheoplasty under Cardiopulmonary Bypass.
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概要
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A 44 year-old man with tracheal tumor was scheduled for tracheoplasty. He had severe dyspnea due to tracheal stenosis. Anesthesia was induced with fentanyl 100μg iv and isoflurane 1% in oxygen. Respiration and gas exchange were maintained by assist ventilation with a mask and by partial cardiopulmonary bypass. Because of the difficulty in ventilating the patient after an unexpected rupture of the bilateral pleurae and difficulty in increasing the cardiopulmonaly bypass flow, hypercarbia developed until an endtracheal tube was placed in the trachea distal to the tumor. To obtain enough cardiopulmonary bypass flow for gas exchange, the number and size of cannulas should be carefully selected.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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