Çift lümenli tüple yapilan endobronşiyal entübasyona bağlı bronşiyal rüptür
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Entübasyon sonrası trakeobronşiyal rüptür ender görülen ciddi bir komplikasyondur.
Olgu Sunumu: Elli yaşındaki kadın olguda nefes darlığı ve göğüs ağrısı yakınmalarına neden olan sağ hemidiyafragma elevasyonu saptanmış ve diyafragma
pilikasyonu amacıyla sağ torakotomi yapılmıştır. Sol
çift lümenli endobronşiyal entübasyon tüpü ile entübe
edilen olguda ameliyat sırasında mediastinal amfizem
gelişmiş ve sol ana bronş membranöz kısmında rüptür saptanmıştır. Bronşiyal rüptürün primer olarak tamir edildiği olgu postoperatif 8. günde sorunsuz olarak taburcu edilmiştir. Sonuç: Çift lümenli endobronşiyal entübasyon tüpleri ile yapılan entübasyonlarda tüp ucu vokal kordları
geçer geçmez stilenin çıkarılması rüptür riskini azaltacaktır. Bu olgularda perioperatif tanı ve erken primer tamir ile olumlu sonuçlar alınmaktadır.
Introduction: After entubation tracheobronchial rupture is a rare serious complication. Case Report: In a case of 50- year-old woman, right diaphragmatic elevation causing complaints of dyspnea and chest pain was found and right thoracotomy was applied for diaphragm plication. In the case entubated with left side endobronchial intubation tube, mediastinal emphysema occurred during the operation and rupture was found in membranous part of the left main bronchi. Bronchial rupture was repaired primary and the patient was discharged without any complications on the 8th postoperative day. Conclusion: Taking out stylet as soon as the tip of the tube passes vocal cords will lower the risk of rupture in the intubations with double lumen endobronchial tubes. In such cases favourable results are obtained with perioperative diagnosis and early primary repair.
Introduction: After entubation tracheobronchial rupture is a rare serious complication. Case Report: In a case of 50- year-old woman, right diaphragmatic elevation causing complaints of dyspnea and chest pain was found and right thoracotomy was applied for diaphragm plication. In the case entubated with left side endobronchial intubation tube, mediastinal emphysema occurred during the operation and rupture was found in membranous part of the left main bronchi. Bronchial rupture was repaired primary and the patient was discharged without any complications on the 8th postoperative day. Conclusion: Taking out stylet as soon as the tip of the tube passes vocal cords will lower the risk of rupture in the intubations with double lumen endobronchial tubes. In such cases favourable results are obtained with perioperative diagnosis and early primary repair.
Açıklama
Anahtar Kelimeler
Bronchial Rupture, Double Lumen Endobronchial Tube, Primary Repair, Stylet, Çift Tümenli Endobronşiyal Tüp, Bronş Rüptürü, Stile, Primer Tamir
Kaynak
Göğüs-Kalp-Damar Anestezi ve Yoğun Bakım Derneği Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
19
Sayı
1
