Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae
Abstract Background Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during e...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2024-11-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-024-00757-6 |
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| author | Hayato Arime Takashi Asai Asuka Fujishiro Tomoyuki Saito |
| author_facet | Hayato Arime Takashi Asai Asuka Fujishiro Tomoyuki Saito |
| author_sort | Hayato Arime |
| collection | DOAJ |
| description | Abstract Background Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia. Case presentation A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command. Conclusion We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae. |
| format | Article |
| id | doaj-art-edc9f4b54e0f416d8bc0ea504d67ca4d |
| institution | Kabale University |
| issn | 2363-9024 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-edc9f4b54e0f416d8bc0ea504d67ca4d2025-01-26T12:19:20ZengSpringerOpenJA Clinical Reports2363-90242024-11-011011410.1186/s40981-024-00757-6Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullaeHayato Arime0Takashi Asai1Asuka Fujishiro2Tomoyuki Saito3Department of Anesthesiology, Dokkyo Medical University Saitama Medical CenterDepartment of Anesthesiology, Dokkyo Medical University Saitama Medical CenterDepartment of Anesthesiology, Dokkyo Medical University Saitama Medical CenterDepartment of Anesthesiology, Dokkyo Medical University Saitama Medical CenterAbstract Background Anesthetic management of a patient with multiple giant bullae is generally difficult due to an increased risk of respiratory complications, and there is no consensus regarding safe extubation methods. We report a case of an effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae, in whom a double-lumen bronchial tube was being used during anesthesia. Case presentation A 52-year-old man with multiple giant bullae underwent video-assisted pulmonary resections, while the ventilation was controlled via a double-lumen bronchial tube. After successful thoracoscopic surgery, an i-gel™ was inserted while the double-lumen tube was still in place, and the double-lumen tube was subsequently removed under deep anesthesia. The i-gel™ was removed without complications after the patient had become able to respond to verbal command. Conclusion We believe that this method would minimize the risk of trauma to the respiratory system during emergence from anesthesia in patients with multiple giant bullae.https://doi.org/10.1186/s40981-024-00757-6Deep extubationGiant bullaLaryngeal mask airway |
| spellingShingle | Hayato Arime Takashi Asai Asuka Fujishiro Tomoyuki Saito Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae JA Clinical Reports Deep extubation Giant bulla Laryngeal mask airway |
| title | Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae |
| title_full | Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae |
| title_fullStr | Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae |
| title_full_unstemmed | Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae |
| title_short | Effective use of a supraglottic airway (i-gel™) during emergence from anesthesia in a patient with multiple giant bullae |
| title_sort | effective use of a supraglottic airway i gel™ during emergence from anesthesia in a patient with multiple giant bullae |
| topic | Deep extubation Giant bulla Laryngeal mask airway |
| url | https://doi.org/10.1186/s40981-024-00757-6 |
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