Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report-
Background Removal of intratracheal tumors is challenging due to the difficulty in securing a patent airway before surgery. We report a case of successful removal using jet ventilation with an injection-time-controllable manual jet ventilator. Case A 3.3 cm-long intratracheal mass was located 5 cm b...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2025-06-01
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| Series: | Korean Journal of Anesthesiology |
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| Online Access: | http://ekja.org/upload/pdf/kja-24918.pdf |
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| author | Darhae Eum Hyun Joo Kim Wyun Kon Park |
| author_facet | Darhae Eum Hyun Joo Kim Wyun Kon Park |
| author_sort | Darhae Eum |
| collection | DOAJ |
| description | Background Removal of intratracheal tumors is challenging due to the difficulty in securing a patent airway before surgery. We report a case of successful removal using jet ventilation with an injection-time-controllable manual jet ventilator. Case A 3.3 cm-long intratracheal mass was located 5 cm below the vocal cords and obstructing 70%–80% of the trachea. Following induction, a rigid telescope under suspension laryngoscopy was used to guide the careful insertion of a hard and long catheter (inner diameter: 1.8 mm; outer diameter: 3 mm; length: 50 cm) beyond the tumor, enabling jet ventilation. The soft, lobulated mass was gradually excised using long forceps under endoscopic visualization. Anesthesia was maintained using total intravenous anesthesia. The operation lasted for 1 h and 45 min. Conclusions This device ensured oxygenation and ventilation during the endoscopic removal of a large intratracheal tumor. This approach highlights its utility in managing challenging airway obstructions. |
| format | Article |
| id | doaj-art-a80db0ba2bf4434c9bb02dd32a6f8c4b |
| institution | DOAJ |
| issn | 2005-6419 2005-7563 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj-art-a80db0ba2bf4434c9bb02dd32a6f8c4b2025-08-20T03:16:04ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632025-06-0178328529010.4097/kja.249189046Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report-Darhae Eum0Hyun Joo Kim1Wyun Kon Park Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Korea Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, KoreaBackground Removal of intratracheal tumors is challenging due to the difficulty in securing a patent airway before surgery. We report a case of successful removal using jet ventilation with an injection-time-controllable manual jet ventilator. Case A 3.3 cm-long intratracheal mass was located 5 cm below the vocal cords and obstructing 70%–80% of the trachea. Following induction, a rigid telescope under suspension laryngoscopy was used to guide the careful insertion of a hard and long catheter (inner diameter: 1.8 mm; outer diameter: 3 mm; length: 50 cm) beyond the tumor, enabling jet ventilation. The soft, lobulated mass was gradually excised using long forceps under endoscopic visualization. Anesthesia was maintained using total intravenous anesthesia. The operation lasted for 1 h and 45 min. Conclusions This device ensured oxygenation and ventilation during the endoscopic removal of a large intratracheal tumor. This approach highlights its utility in managing challenging airway obstructions.http://ekja.org/upload/pdf/kja-24918.pdfairway obstructionanesthesia, intravenoushigh-frequency jet ventilationlaryngoscopytracheal neoplasmstracheal stenosis |
| spellingShingle | Darhae Eum Hyun Joo Kim Wyun Kon Park Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report- Korean Journal of Anesthesiology airway obstruction anesthesia, intravenous high-frequency jet ventilation laryngoscopy tracheal neoplasms tracheal stenosis |
| title | Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report- |
| title_full | Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report- |
| title_fullStr | Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report- |
| title_full_unstemmed | Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report- |
| title_short | Successful removal of a large intratracheal tumor using the injection-time-controllable manual jet ventilator via translaryngeal approach -a case report- |
| title_sort | successful removal of a large intratracheal tumor using the injection time controllable manual jet ventilator via translaryngeal approach a case report |
| topic | airway obstruction anesthesia, intravenous high-frequency jet ventilation laryngoscopy tracheal neoplasms tracheal stenosis |
| url | http://ekja.org/upload/pdf/kja-24918.pdf |
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