高頻噴射呼吸器使用於氣管造口探查術之病例報告 | 合法醫療器材資訊網

HighFrequencyJetVentilationinExplorationofTracheostomy--ACaseReport...中文摘要.氣管造口探查術雖不罕見，但在臉部有新造重建皮瓣的病人，卻可能 ...

Exploration of tracheostomy is not uncommon, however, in case a patient with a facial reconstruction flap, trouble may arise because of difficulty in intubation. We hereby report a patient who had a fresh facial reconstruction flap after radical resection of buccal carcinoma, sustained bleeding around the tracheostomy and was scheduled for exploration of tracheostomy. Fiberoptic oral intubation was failed because of profuse secretion and edematous oral mucosa; high frequency jet ventilation (HFJV) was thus applied and made possible with a suction catheter put through the tracheostomy tube. Exploration was performed following withdrawal of the tracheostomy tube. The tracheostomy tube was reinserted under the guidance of the in-place suction tube after uneventful exploration. The probab...