Tracheal synechia visualized in flexible fibrobronchoscopy in induction of anesthesia for thoracic surgery

Martínez Marivela, T.; Cortés Guerrero, M.; Real Navacerrada, M.I.

doi:10.1016/j.redare.2018.09.011

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Martínez Marivela, M. Cortés Guerrero, M.I. Real Navacerrada" "autores" => array:3 [ 0 => array:4 [ "nombre" => "T." "apellidos" => "Martínez Marivela" "email" => array:1 [ 0 => "teresa.martinez@salud.madrid.org" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M." "apellidos" => "Cortés Guerrero" ] 2 => array:2 [ "nombre" => "M.I." "apellidos" => "Real Navacerrada" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Doce de Octubre, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Sinequia traqueal objetivada mediante fibrobroncoscopia flexible en inducción anestésica reglada para cirugía torácica" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 649 "Ancho" => 950 "Tamanyo" => 110784 ] ] "descripcion" => array:1 [ "en" => "Tracheal synechia spanning the trachea. Image of flexible fibrobronchoscopy in patient under general anesthesia." ] ] ] "textoCompleto" => "A 59-year-old woman was programmed for video assisted thoracic surgery to remove a paravertebral mass compatible with neuroma located in T10. The patient's medical history consisted in deep venous thrombosis and pulmonary embolism following a uterine myoma resection, and an ICU stay 37 years ago for polytrauma following a traffic accident, requiring long term intubation but no laryngeal fracture.After induction of general anesthesia, we performed direct laryngoscopy to place a 37Fr left double lumen tube. During the maneuver considerable resistance to tube placement was observed, and we changed to a smaller, size 35Fr, tube; however, the problem persisted. We decided to perform flexible bronchoscopy which, after passing through the vocal folds, revealed the laryngeal lesion shown in the image (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>: yellow mark) spanning the trachea.<elsevierMultimedia ident="fig0005"></elsevierMultimedia>We decided to wake the patient up and reschedule surgery after evaluation by the otorhinolaryngologist.Finally, after multidisciplinary discussion, it was decided to repeat the procedure and resect the tracheal synechia using rigid bronchoscopy and jet ventilation, and after that to perform the video assisted thoracic surgery." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Martínez Marivela T, Cortés Guerrero M, Real Navacerrada MI. Sinequia traqueal objetivada mediante fibrobroncoscopia flexible en inducción anestésica reglada para cirugía torácica. 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ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 66. Issue 1.

Pages 57 (January 2019)

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