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One lung ventilation management in a patient with Reinke’s edema

INTRODUCTION: Reinke’s edema (RE) is a benign laryngeal disease. We describe the case of a patient with history of bilateral RE requiring surgical treatment, that came to our attention for a lung lobectomy due to adenocarcinoma. In consideration of the possible complications at the time of extubatio...

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Autores principales: Rispoli, Marco, Nespoli, Moana Rossella, Mattiacci, Dario Maria, Curcio, Carlo, Casazza, Dino, Amore, Dario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263996/
https://www.ncbi.nlm.nih.gov/pubmed/32480341
http://dx.doi.org/10.1016/j.ijscr.2020.04.097
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author Rispoli, Marco
Nespoli, Moana Rossella
Mattiacci, Dario Maria
Curcio, Carlo
Casazza, Dino
Amore, Dario
author_facet Rispoli, Marco
Nespoli, Moana Rossella
Mattiacci, Dario Maria
Curcio, Carlo
Casazza, Dino
Amore, Dario
author_sort Rispoli, Marco
collection PubMed
description INTRODUCTION: Reinke’s edema (RE) is a benign laryngeal disease. We describe the case of a patient with history of bilateral RE requiring surgical treatment, that came to our attention for a lung lobectomy due to adenocarcinoma. In consideration of the possible complications at the time of extubation and of the probable difficult control of the airways, the patient underwent intervention of microflap surgery for the RE at the same time of lobectomy. We opted for Bronchial Blocker (BB) using a Viva-sight™ Single Lumen Tube (SLT) Internal Diameter (ID) 7.0 mm (Ambu A/S, Baltorpbakken 13, DK-2750 Ballerup, Denmark) with integrated high-resolution camera. PRESENTATION OF CASE: The patient (female, 67 years old, BMI 28) was a candidate for lung lobectomy. She reported a RE requiring surgical treatment. An armoured Endo Tracheal Tube (ETT) ID 5.0 mm was positioned and microflap surgery was performed. Once this surgery ended, the armoured ETT was removed after placing an airway guide wire exchanger and a SLT ID 7.0 mm was placed. ​VivaSight-endoblocher™ (EB) was positioned in the right bronchus. DISCUSSION: We opted for double intervention, the risk that could result from the delay persuaded the patient to perform surgery for the RE. Postponing the lobectomy was dangerous for the oncological situation. The Viva-Sight SLT represented the right compromise. CONCLUSION: Even after the microflap, the space available for the ETT was reduced and, in order not to traumatize a tissue already stressed by surgery and to facilitate the tracheal intubation, we opted for BB using a Viva-sight™.
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spelling pubmed-72639962020-06-05 One lung ventilation management in a patient with Reinke’s edema Rispoli, Marco Nespoli, Moana Rossella Mattiacci, Dario Maria Curcio, Carlo Casazza, Dino Amore, Dario Int J Surg Case Rep Article INTRODUCTION: Reinke’s edema (RE) is a benign laryngeal disease. We describe the case of a patient with history of bilateral RE requiring surgical treatment, that came to our attention for a lung lobectomy due to adenocarcinoma. In consideration of the possible complications at the time of extubation and of the probable difficult control of the airways, the patient underwent intervention of microflap surgery for the RE at the same time of lobectomy. We opted for Bronchial Blocker (BB) using a Viva-sight™ Single Lumen Tube (SLT) Internal Diameter (ID) 7.0 mm (Ambu A/S, Baltorpbakken 13, DK-2750 Ballerup, Denmark) with integrated high-resolution camera. PRESENTATION OF CASE: The patient (female, 67 years old, BMI 28) was a candidate for lung lobectomy. She reported a RE requiring surgical treatment. An armoured Endo Tracheal Tube (ETT) ID 5.0 mm was positioned and microflap surgery was performed. Once this surgery ended, the armoured ETT was removed after placing an airway guide wire exchanger and a SLT ID 7.0 mm was placed. ​VivaSight-endoblocher™ (EB) was positioned in the right bronchus. DISCUSSION: We opted for double intervention, the risk that could result from the delay persuaded the patient to perform surgery for the RE. Postponing the lobectomy was dangerous for the oncological situation. The Viva-Sight SLT represented the right compromise. CONCLUSION: Even after the microflap, the space available for the ETT was reduced and, in order not to traumatize a tissue already stressed by surgery and to facilitate the tracheal intubation, we opted for BB using a Viva-sight™. Elsevier 2020-05-17 /pmc/articles/PMC7263996/ /pubmed/32480341 http://dx.doi.org/10.1016/j.ijscr.2020.04.097 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rispoli, Marco
Nespoli, Moana Rossella
Mattiacci, Dario Maria
Curcio, Carlo
Casazza, Dino
Amore, Dario
One lung ventilation management in a patient with Reinke’s edema
title One lung ventilation management in a patient with Reinke’s edema
title_full One lung ventilation management in a patient with Reinke’s edema
title_fullStr One lung ventilation management in a patient with Reinke’s edema
title_full_unstemmed One lung ventilation management in a patient with Reinke’s edema
title_short One lung ventilation management in a patient with Reinke’s edema
title_sort one lung ventilation management in a patient with reinke’s edema
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263996/
https://www.ncbi.nlm.nih.gov/pubmed/32480341
http://dx.doi.org/10.1016/j.ijscr.2020.04.097
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