Maintenance of balance between airway pressure and intracranial pressure in a patient with tracheal stenosis undergoing craniotomy: a case report
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- 作者：Ç ; iğdem Yıldırım Gü ; ç ; lü ; ; drcigdemyldrm@yahoo.com.tr ; Başak Ceyda Meç ; o ; Meltem Karamustafa ; Yü ; ksel Keç ; ik
- 关键词：Craniotomy ; Tracheal stenosis ; Intracranial pressure
- 刊名：Brazilian Journal of Anesthesiology (English Edition)
- 出版年：2017
- 出版时间：January-February 2017
- 年：2017
- 卷：67
- 期：1
- 页码：92-94
- 全文大小：230 K
- 卷排序：67
文摘
Tracheal stenosis is a rare but a life-threatening condition and anesthesia of a patient with tracheal stenosis is challenging for anesthesiologists. Maintaining stable hemodynamics and ventilation parameters are important issues in neuroanesthesia. Any increase in airway peak pressure and ETCO2 will result in increase in intracranial pressure which must be avoided during craniotomies. Tracheal stenosis could be a reason for increased airway pressure.Case reportWe described a patient undergoing craniotomy with tracheal stenosis.ConclusionDetailed preparation for intubation, to stabilize airway dynamics and to make the right decision for the surgery were important points. To maintain of a good balance between cerebral dynamics and airway dynamics were the pearls of this case.