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- Title
One-lung Ventilation for Patients With Laryngo-tracheal Stenosis: A Case Report and Literature Review.
- Authors
Yue Li; Huan-qiu Liu; Yu-shuang Zhang; Ji Li
- Abstract
Context • Laryngo-tracheal stenosis (LTS) is a relatively rare disease, and conventional methods have difficulty achieving one-lung ventilation (OLV) when an anatomical abnormality exists. Selecting an appropriate method for patients with LTS can ensure oxygenation, collapse the lung, and reduce damage. Objective • The study intended to perform a comprehensive review of the literature and a systematic review to examine the characteristics and management of OLV for LTS patients. Design • The research team performed a narrative review by searching the PubMed and China National Knowledge Infrastructure (CNKI) databases. The search used the keywords one-lung ventilation and tracheal stenosis. The team then performed a review, including the studies found in the search and the research team’s own case study. Setting • The study took place at the First Hospital of Jilin University in Changchun, Jilin, China. Participant • The participant in the current case study was a 72-year-old, female patient with generalized tracheal narrowing. Results • Nine participants achieved OLV through BB, with the anesthesiologist performing SLT and using extraluminal BB for six participants. Conclusions • Several methods can successfully achieve OLV for patients with difficult airways, but the current research team found that a small, single-lumen tube (SLT) and extraluminal bronchial blocker (BB) may be a better choice for patients with tracheal stenosis.
- Subjects
TRACHEAL stenosis; LARYNGEAL stenosis; OXYGEN therapy; RESPIRATORY therapy; STENOSIS
- Publication
Alternative Therapies in Health & Medicine, 2024, Vol 30, Issue 1, p278
- ISSN
1078-6791
- Publication type
Article