Abstract
Abstract
Objective
To analyze the usefulness of temporary sheath-assisted tracheal intubation during tracheal stenting (TS) under fluoroscopy.
Methods
A total of 261 patients with airway stenosis due to malignant tumors underwent TS from May 2017 to January 2021, and 21 patients required tracheal intubation (TI) after air stenting because of viscous sputum blockage, endotracheal bleeding, and other conditions. The technique of temporary sheath-assisted TI was used. The vital signs (such as SpO2, blood pressure, heart rate, and respiratory), technical success, clinical success, and complications were analyzed.
Results
Temporary sheath-assisted TI was successful in all patients, and the mean procedure time was 0.7 min, with a technical success rate of 100%. Hypoxia resolved in all patients, and sputum blockage or endotracheal bleeding could be treated easily through the TI channel under fluoroscopy. All the vital signs significantly increased after TI (P < 0.05). One patient died without successful TI removal, making for a clinical success rate of 95.2%. No serious complications occurred.
Conclusion
Sheath-assisted TI is an easy and useful procedure during TS under fluoroscopy in emergency situations.
Publisher
Springer Science and Business Media LLC
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