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Tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide levels during mediastinoscopic subtotal esophagectomy: a case report.
- Source :
- JA Clinical Reports; 2/13/2024, Vol. 10 Issue 1, p1-4, 4p
- Publication Year :
- 2024
-
Abstract
- Background: Mediastinoscopic surgery for esophageal cancer facilitates early postoperative recovery. However, it can occasionally cause serious complications. Here, we present the case of a patient with a tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide (EtCO<subscript>2</subscript>) during mediastinoscopic subtotal esophagectomy. Case presentation: A 52-year-old man diagnosed with esophageal cancer was scheduled to undergo mediastinoscopic subtotal esophagectomy. During the mediastinoscopic procedure, the EtCO<subscript>2</subscript> level suddenly increased above 200 mmHg, and the blood pressure dropped below 80 mmHg. We immediately asked the operator to stop insufflation and found a tracheal injury on the right side of the trachea near the carina by bronchoscopy. The endotracheal tube was replaced with a double-lumen tube, and the trachea was repaired via right thoracotomy. There were no further intraoperative complications. After surgery, the patient was extubated and admitted to the intensive care unit. Conclusions: Monitoring EtCO<subscript>2</subscript> levels and close communication with the operator is important for safely managing sudden tracheal injury during mediastinoscopic esophagectomy. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 23639024
- Volume :
- 10
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- JA Clinical Reports
- Publication Type :
- Academic Journal
- Accession number :
- 175410130
- Full Text :
- https://doi.org/10.1186/s40981-024-00695-3