巨大喉頭蓋嚢胞を有する患者の麻酔経験  [in Japanese] Anesthetic Management for a Patient with a Large Epiglottic Cyst.  [in Japanese]

Access this Article

Author(s)

Abstract

巨大喉頭蓋嚢胞を有する患者の麻酔を経験した.患者は67歳,男性で,画像診断で喉頭蓋舌面を覆っている径30mmの巨大嚢胞が確認され手術となった.通常の麻酔導入では換気困難および挿管困難が予想されたため,意識下気管支ファイバーを用いた挿管を施行し,特に問題もなく麻酔を終了した.

A 67-year-old male was diagnosed as having a large epiglottic cyst. Computed tomography of the neck demonstrated that the cyst, on the lingual surface of the epiglottis, was about 30 mm in diameter. He was therefore scheduled to undergo surgery for removal of the cyst. Before anesthesia, we anticipated that adequate visualization of the larynx and tracheal intubation would be impossible, so nasal intubation was performed with a fiberoptic bronchoscope under local anesthesia. A size 7.5 cuffed tracheal tube was inserted into the trachea on the first attempt without difficulty. Intubation using fiberoptic bronchoscopy proved to be a very useful method for a patient with a large epiglottic cyst.

Journal

  • THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 14(10), 822-824, 1994

    THE JAPAN SOCIETY FOR CLINICAL ANESTHESIA

Codes

  • NII Article ID (NAID)
    130003581024
  • Text Lang
    JPN
  • ISSN
    0285-4945
  • Data Source
    J-STAGE 
Page Top