[General anesthesia for expandable endotracheobronchial metal stent insertion].
We experienced eight cases of general anesthesia for endotracheobronchial expandable metal stent insertion. Awake intubation was performed following NLA induction. Anesthesia was maintained by inhalational anesthetics and fentanyl was added under spontaneous breathing assisted manually. Two patients showed a marked hemodynamic change and hypoxia due to endotracheobronchial bleeding and suction. Six patients received EMS insertion with no trouble. We conclude that endotracheobronchial bleeding is an important factor to be watched for during anesthetic management for EMS insertion.
Fujii
K
K
Department of Anesthesiology, Hiroshima Red Cross and Atomic Bomb Survivors Hospital, Japan.
Okida
M
M
Fujioka
Y
Y
Kobayashi
M
M
Fujimoto
M
M
D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D016063:Blood Loss, Surgical / Q000517:prevention & control; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D015607:Stents; D014135:Tracheal Stenosis / Q000601:surgery*