Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature

A tracheal diverticulum (TD) is a rare disease that is usually diagnosed as an incidental finding on thoracic computed tomography or bronchoscopy. TDs can be classified as congenital or acquired. In patients undergoing surgery, TDs can result in difficult intubation, difficult ventilation, pneumotho...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Xiao Huang, Yuan Sun, Dandan Lin, Changewi Wei, Anshi Wu, Chao Gao
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/aca942a257c04d7292ae47f9a6d6bef2
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:aca942a257c04d7292ae47f9a6d6bef2
record_format	dspace
spelling	oai:doaj.org-article:aca942a257c04d7292ae47f9a6d6bef22021-12-02T03:04:30ZAnesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature1473-230010.1177/03000605211032855https://doaj.org/article/aca942a257c04d7292ae47f9a6d6bef22021-11-01T00:00:00Zhttps://doi.org/10.1177/03000605211032855https://doaj.org/toc/1473-2300A tracheal diverticulum (TD) is a rare disease that is usually diagnosed as an incidental finding on thoracic computed tomography or bronchoscopy. TDs can be classified as congenital or acquired. In patients undergoing surgery, TDs can result in difficult intubation, difficult ventilation, pneumothorax, and other complications. We herein report a case of anesthetic management of thoracoscopic pulmonary wedge resection in a patient with a giant TD in the carina. Intraoperative double-lumen intubation and single-lung ventilation were challenging to perform. Fiberoptic-guided intubation was helpful, and intraoperative management was tailored to avoid diverticulum rupture. In this report, we also review complications related to TD in surgical patients undergoing mechanical ventilation. Ventilation is one of the most prominent anesthetic challenges. The close collaboration of the entire medical team was a key factor in the successful management of this rare case.Xiao HuangYuan SunDandan LinChangewi WeiAnshi WuChao GaoSAGE PublishingarticleMedicine (General)R5-920ENJournal of International Medical Research, Vol 49 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920
spellingShingle	Medicine (General) R5-920 Xiao Huang Yuan Sun Dandan Lin Changewi Wei Anshi Wu Chao Gao Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
description	A tracheal diverticulum (TD) is a rare disease that is usually diagnosed as an incidental finding on thoracic computed tomography or bronchoscopy. TDs can be classified as congenital or acquired. In patients undergoing surgery, TDs can result in difficult intubation, difficult ventilation, pneumothorax, and other complications. We herein report a case of anesthetic management of thoracoscopic pulmonary wedge resection in a patient with a giant TD in the carina. Intraoperative double-lumen intubation and single-lung ventilation were challenging to perform. Fiberoptic-guided intubation was helpful, and intraoperative management was tailored to avoid diverticulum rupture. In this report, we also review complications related to TD in surgical patients undergoing mechanical ventilation. Ventilation is one of the most prominent anesthetic challenges. The close collaboration of the entire medical team was a key factor in the successful management of this rare case.
format	article
author	Xiao Huang Yuan Sun Dandan Lin Changewi Wei Anshi Wu Chao Gao
author_facet	Xiao Huang Yuan Sun Dandan Lin Changewi Wei Anshi Wu Chao Gao
author_sort	Xiao Huang
title	Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
title_short	Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
title_full	Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
title_fullStr	Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
title_full_unstemmed	Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
title_sort	anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/aca942a257c04d7292ae47f9a6d6bef2
work_keys_str_mv	AT xiaohuang anestheticmanagementofthoracoscopicpulmonarywedgeresectionwithagianttrachealdiverticuluminthecarinaacasereportandreviewoftheliterature AT yuansun anestheticmanagementofthoracoscopicpulmonarywedgeresectionwithagianttrachealdiverticuluminthecarinaacasereportandreviewoftheliterature AT dandanlin anestheticmanagementofthoracoscopicpulmonarywedgeresectionwithagianttrachealdiverticuluminthecarinaacasereportandreviewoftheliterature AT changewiwei anestheticmanagementofthoracoscopicpulmonarywedgeresectionwithagianttrachealdiverticuluminthecarinaacasereportandreviewoftheliterature AT anshiwu anestheticmanagementofthoracoscopicpulmonarywedgeresectionwithagianttrachealdiverticuluminthecarinaacasereportandreviewoftheliterature AT chaogao anestheticmanagementofthoracoscopicpulmonarywedgeresectionwithagianttrachealdiverticuluminthecarinaacasereportandreviewoftheliterature
_version_	1718402002564677632

Anesthetic management of thoracoscopic pulmonary wedge resection with a giant tracheal diverticulum in the carina: a case report and review of the literature

Ejemplares similares