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Expiratory Central Airway Collapse and Dynamic Hyperinflation During Peroral Endoscopic Myotomy: A Case Report.
Nielsen, Emma I; Tresierra, Steve; Cenkowski, Marta; Bechara, Robert; Klar, Gregory; Mizubuti, Glenio B.
Afiliación
  • Nielsen EI; From the Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
  • Tresierra S; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada.
  • Cenkowski M; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada.
  • Bechara R; Department of Medicine, Division of Gastroenterology, Queen's University, Kingston, Ontario, Canada.
  • Klar G; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada.
  • Mizubuti GB; Department of Anesthesiology & Perioperative Medicine, Queen's University, Kingston, Ontario, Canada.
A A Pract ; 18(6): e01799, 2024 Jun 01.
Article en En | MEDLINE | ID: mdl-38842199
ABSTRACT
In tracheobronchomalacia, the structural weakening of the airway results in altered ventilatory mechanics. This case report describes a patient with known tracheobronchomalacia who experienced expiratory central airway collapse and dynamic pulmonary hyperinflation during peroral endoscopic myotomy (POEM) to treat symptomatic achalasia. We discuss the physiological considerations and potential complications of a POEM procedure with superimposed tracheobronchomalacia and present perioperative strategies for the prevention and management of this potentially deleterious combination. Although tracheobronchomalacia was a known condition in our patient, it is likely an underdiagnosed condition that may first present intraoperatively.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Acalasia del Esófago / Miotomía Límite: Humans / Middle aged Idioma: En Revista: A A Pract Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Acalasia del Esófago / Miotomía Límite: Humans / Middle aged Idioma: En Revista: A A Pract Año: 2024 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Estados Unidos