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Anesthetic experience of a patient with tracheomegaly -A case report-

Tracheomegaly or tracheobronchomegaly is a rare syndrome that consists of marked dilatation of the trachea and the major bronchi, and this is usually due to a congenital defect of the elastic and muscle fibers of the tracheobroncheal tree. Physicians have had only limited experience with performing...

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Autores principales: Kim, Mi Young, Kim, Eun Joo, Min, Byung Woo, Ban, Jong Suk, Lee, Sang Kon, Lee, Ji Hyang
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Anesthesiologists 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872854/
https://www.ncbi.nlm.nih.gov/pubmed/20498800
http://dx.doi.org/10.4097/kjae.2010.58.2.197
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author Kim, Mi Young
Kim, Eun Joo
Min, Byung Woo
Ban, Jong Suk
Lee, Sang Kon
Lee, Ji Hyang
author_facet Kim, Mi Young
Kim, Eun Joo
Min, Byung Woo
Ban, Jong Suk
Lee, Sang Kon
Lee, Ji Hyang
author_sort Kim, Mi Young
collection PubMed
description Tracheomegaly or tracheobronchomegaly is a rare syndrome that consists of marked dilatation of the trachea and the major bronchi, and this is usually due to a congenital defect of the elastic and muscle fibers of the tracheobroncheal tree. Physicians have had only limited experience with performing anesthesia in patients with this type of syndrome. This syndorme is diagnosed by roentenological investigation and this condition is frequently associated with chronic respiratory infection and partial airway obstruction. In this report, we present a case of performing tracheostomy for a patient with tracheomegaly, and this was probably secondary to mechanical ventilator therapy. The regular tracheostomy tube did not provided sufficient length to allow the cuff to lie properly in the trachea in this patient. Because of the peri-cuff air leakgae and hypercapnea after tracheostomy, we needed a longer tracheostomy tube. But we didn't have such a tube and we didn't know any other method, so we couldn't perform tracheostomy. Therefore, we introduced a method of reducing the length of the endotracheal tube to a suitable size until a longer tracheostomy tube can be obtained for those patients having tracheomegaly.
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spelling pubmed-28728542010-05-24 Anesthetic experience of a patient with tracheomegaly -A case report- Kim, Mi Young Kim, Eun Joo Min, Byung Woo Ban, Jong Suk Lee, Sang Kon Lee, Ji Hyang Korean J Anesthesiol Case Report Tracheomegaly or tracheobronchomegaly is a rare syndrome that consists of marked dilatation of the trachea and the major bronchi, and this is usually due to a congenital defect of the elastic and muscle fibers of the tracheobroncheal tree. Physicians have had only limited experience with performing anesthesia in patients with this type of syndrome. This syndorme is diagnosed by roentenological investigation and this condition is frequently associated with chronic respiratory infection and partial airway obstruction. In this report, we present a case of performing tracheostomy for a patient with tracheomegaly, and this was probably secondary to mechanical ventilator therapy. The regular tracheostomy tube did not provided sufficient length to allow the cuff to lie properly in the trachea in this patient. Because of the peri-cuff air leakgae and hypercapnea after tracheostomy, we needed a longer tracheostomy tube. But we didn't have such a tube and we didn't know any other method, so we couldn't perform tracheostomy. Therefore, we introduced a method of reducing the length of the endotracheal tube to a suitable size until a longer tracheostomy tube can be obtained for those patients having tracheomegaly. The Korean Society of Anesthesiologists 2010-02 2010-02-28 /pmc/articles/PMC2872854/ /pubmed/20498800 http://dx.doi.org/10.4097/kjae.2010.58.2.197 Text en Copyright © The Korean Society of Anesthesiologists, 2010 http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Mi Young
Kim, Eun Joo
Min, Byung Woo
Ban, Jong Suk
Lee, Sang Kon
Lee, Ji Hyang
Anesthetic experience of a patient with tracheomegaly -A case report-
title Anesthetic experience of a patient with tracheomegaly -A case report-
title_full Anesthetic experience of a patient with tracheomegaly -A case report-
title_fullStr Anesthetic experience of a patient with tracheomegaly -A case report-
title_full_unstemmed Anesthetic experience of a patient with tracheomegaly -A case report-
title_short Anesthetic experience of a patient with tracheomegaly -A case report-
title_sort anesthetic experience of a patient with tracheomegaly -a case report-
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2872854/
https://www.ncbi.nlm.nih.gov/pubmed/20498800
http://dx.doi.org/10.4097/kjae.2010.58.2.197
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