The airway stenosis becomes a "first -line day". For the first time, this hospital uses a pediatric trachea duct for anesthesia for adults

Jimu Journalist Liu Xun Wang Chenxi

Correspondent Gao Xiang Sang Amin Ding Ruiwen

On August 7, Mr. Yan, who weighed 216 pounds, was ready to have a stomach cutting surgery. Pre -surgery found that he had undergone bronchial cutting surgery. The tracheal ducts performed anesthesia for him to perform the operation smoothly.

Chief Physician Song Xuemin is doing tracheal intubation (source: Wuhan University Central South Hospital)

Mr. Yan, 27, has increased significantly in the past two years, reaching 216 catties, and his height is 164 cm. For calculating, his weight is seriously exceeded. He often felt tired and went to the hospital to check his body. The results of the examination showed that he suffered from severe diabetes and hypertension, which caused his multi -system organs to be damaged and severely threatened life and health.

Because it was difficult to lose weight by dieting and exercise, three days ago, Mr. Yan went to Wuhan University Central South Hospital to metabolize the surgery for medical treatment, hoping to lose weight through stomach cutting surgery. During the CT examination of the neck before surgery, the doctor found that Mr. Yan had undergone bronchial cutting treatment due to severe pneumonia. The scars formed after surgery caused severe trachea stenosis. Heavy surgery anesthesia increases huge risks and difficulties.

After discussions and fully preparing before surgery, when the team of chief physician Song Xuemin of the Department of Anesthesiology performed anesthesia yesterday, using a fibrous mirror, throat mask, and a pediatric tracheal catheter used for children within 5 years of age, through the "winding rugged" airway In the end, break the smallest part of the airway, and successfully intubate to implement anesthesia. Pan Dingyu and Deputy Chief Physician Li Zhen who were waiting for metabolism and weight loss surgery on the side successfully completed the "laparoscopic mirror cuff and gastric resection surgery".

According to the chief physician of Song Xuemin, if the conventional tracheal intubation is adopted, patients will cause hypoxia due to airway damage and gastric fluid reflux. This is the first time that the hospital has adopted pediatric bronchial ducts for adults to anesthes anesthesia.

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