[Anesthetic management for transtracheal placement of a catheter for intracavity infusion of an antifungal drug in patients with pulmonary fungus ball of aspergillosis].
A catheter was inserted through the cricothyroid membrane under general anesthesia using a laryngeal mask airway in two patients with pulmonary fungus ball of aspergillosis to administer an antimycotic into the fungus ball. Anesthesia was induced with fentanyl and propofol in both patients. The laryngeal mask airway was inserted using intravenous injection of vecuronium. Anesthesia was maintained with continuous infusion of propofol. The catheter was inserted through the cricothyroid membrane and placed in the pulmonary fungus ball using bronchoscope. Perioperative and postoperative courses were uneventful in both patients. It was concluded that the laryngeal mask airway is useful for airway management when a catheter is inserted into a pulmonary fungus ball through the cricothyroid membrane.
Yamaguchi
S
S
First Department of Anesthesiology, Dokkyo University School of Medicine, Tochigi.
Watanabe
K
K
Mishio
M
M
Okuda
Y
Y
Kitajima
T
T
D000368:Aged; D000768:Anesthesia, General / Q000295:instrumentation / Q000379:methods*; D000935:Antifungal Agents / Q000008:administration & dosage*; D001228:Aspergillosis / Q000188:drug therapy*; D002404:Catheterization; D005260:Female; D015725:Fluconazole / Q000008:administration & dosage*; D006801:Humans; D017214:Laryngeal Masks; D008172:Lung Diseases, Fungal / Q000188:drug therapy*; D008297:Male
D000935:Antifungal Agents; D015725:Fluconazole