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Anesthetic and Airways Management of a Dog with Severe Tracheal Collapse during Intraluminal Stent Placement

机译:腔内支架置入期间严重气管塌陷的狗的麻醉和气道管理

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This case report describes the anesthetic and airways management of a dog affected by 4th degree tracheal collapse and undergoing endoscope-guided intraluminal stent placement. After premedication with acepromazine and butorphanol, general anesthesia was induced with propofol and maintained with intravenous propofol and butorphanol in constant rate infusion. During intraluminal stent placement, oxygen was supplemented by means of a simple and inexpensive handmade device, namely, a ureteral catheter inserted into the trachea and connected to an oxygen source, which allowed for the maintenance of airways’ patency and adequate patient’s oxygenation, without decreasing visibility in the surgical field or interfering with the procedure. The use of the technique described in the present paper was the main determinant of the successful anesthetic management and may be proposed for similar critical cases in which surgical manipulation of the tracheal lumen, which may potentially result in hypoxia by compromising airways patency, is required.
机译:该病例报告描述了受第四度气管塌陷并接受内窥镜引导的腔内支架置入的狗的麻醉和气道处理。在用醋氨丙嗪和布托啡诺进行预用药后,用异丙酚诱导全身麻醉,并以恒定速率输注丙泊酚和布托啡诺静脉维持麻醉。在腔内支架置入过程中,通过简单且廉价的手工装置(即,将一根输尿管导管插入气管并连接到氧气源)来补充氧气,以保持气道通畅和患者充足的氧合作用,而不会降低手术区域的可见性或干扰手术。本文描述的技术的使用是成功进行麻醉管理的主要决定因素,对于需要对气管腔进行外科手术操作(可能通过损害气道通畅而导致缺氧)的类似危重病例,可能会建议使用该技术。

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