GKD Anest Yoð Bak Dern Derg. 2015; 21(4): 174-179 | DOI: 10.5222/GKDAD.2015.174

Trakeal Stenozun Rijit Bronkoskop ve Balon Dilatasyonla Tedavisinde Total Ýntravenöz Anestezi Kullanýmý: 4 Olgunun Sunumu

Canan Salman Önemli¹, Deniz Ayhan Çatal^2
1Tepecik Eðitim Ve Araþtýrma Hastanesi Anesteziyoloji Ve Reanimasyon Kliniði, Ýzmir, Türkiye
²Dr. Suat Seren Göðüs Hastalýklarý Ve Cerrahisi Eðitim Ve Araþtýrma Hastanesi Anestezi Kliniði, Ýzmir, Türkiye

Trakea stenozu konjenital, edinsel ve idiopatik nedenlerle oluþan bir havayolu obstrüksiyonudur. En sýk görülen etyoloji ise entübasyon veya trakeostomiye baðlý uzamýþ mekanik ventilasyondur. Entübasyona baðlý trakeal stenoz, endotrakeal kaf basýncýnýn trakea mukozasý ortalama kapiller-arterioler kan basýncýný aþmasý sonucu oluþur. Giriþimsel bronkoskopik yöntemler özellikle son yýllarda seçilmiþ hastalarda düþük komplikasyon oranlarý nedeniyle hem taný hem de tedavide kullanýlmaya baþlanmýþtýr. Özellikle genel anestezi altýnda uygulanan rijit bronkoskopide hýzlý bir anestezi indüksiyonu ile kontrollü bir havayolu ve ventilasyon saðlanarak güvenli bir müdahale yapýlabilir. Bu yazýda entübasyona baðlý trakeal stenoz geliþen dört olguda rijit bronkoskopi eþliðinde yapýlan balon dilatasyon uygulamasýnda total intravenöz anestezi yönetimi sunulmuþtur.

Anahtar Kelimeler: Trakeal stenoz, rijit bronkoskopi, intravenöz, anestezi, sugammadeks

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The Use of Total Intravenous Anesthesia During Rigid Bronchoscopy And Balloon Dilatation in The Treatment Of Tracheal Stenosis: A Report of 4 Cases

Canan Salman Önemli¹, Deniz Ayhan Çatal^2
1Department Of Anesthesiology And Reanimation, Tepecik Education And Research Hospital, Ýzmir, Turkey
²Clinic Of Anesthesia, Dr. Suat Seren Chest Diseases And Surgery Education And Research Hospital, Ýzmir, Turkey

Tracheal stenosis is airway obstruction caused by congenital, acquired and idiopathic. The most common etiology is intubation or tracheostomy due to prolonged mechanical ventilation. Tracheal stenosis due to intubation occurs as a result that the endotracheal cuff pressure exceeds the mean capillary-arteriolar blood pressure in tracheal mucosa. Interventional bronchoscopic procedures have commonly used in recent years for both diagnosis and treatment because of low complication rates in selected patients. In particular, by rapid induction of anesthesia, it is possible to have controlled airway and ventilation during rigid bronchoscopy performed under general anesthesia. In particular, the rigid bronchoscopy performed under general anesthesia, providing a controlled airway and ventilation, with a rapid induction of anesthesia procedures that ensure adequate muscle relaxation is performed. In this paper, total intravenous anesthesia management under the application of the ballon dilatation along with rigid bronchoscopy is presented in four cases with tracheal stenosis due to intubation.

Keywords: Tracheal stenosis, rigid bronchoscopy, intravenous, anesthesia, sugammadex

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