Saber-sheath trachea is a deformation of the trachea characterized by a tracheal index of less than 0.67, commonly found in patients with chronic obstructive pulmonary disease (COPD). This condition can lead to symptoms such as shortness of breath, coughing, and recurrent respiratory infections, which may necessitate surgical intervention. We present the case of a 72-year-old male with a left upper pulmonary lobe tumor scheduled for thoracoscopic lobectomy. The patient exhibited severe emphysema and had a tracheal index of 0.28, indicating a significantly narrowed intrathoracic trachea. Preoperative assessments revealed stable vital signs and low risk for perioperative complications, allowing for standard noninvasive monitoring during the procedure. Anesthesia was induced while maintaining spontaneous breathing using inhalation anesthetics. A left-sided double-lumen endotracheal tube was successfully placed for lung isolation. Throughout the surgery, airway pressures remained below 20 cm H2O, and the patient tolerated ventilation well. Following the procedure, fiberoptic bronchoscopy confirmed the absence of airway complications. The patient experienced a smooth recovery, was discharged after 6 days, and reported feeling well at the 3-month follow-up. This case underscores the importance of careful anesthetic management in patients with saber-sheath trachea undergoing thoracic surgery.
| Published in | Cardiology and Cardiovascular Research (Volume 8, Issue 3) |
| DOI | 10.11648/j.ccr.20240803.11 |
| Page(s) | 83-86 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Saber-Sheath Trachea, Double-Lumen Endotracheal Tube, Chronic Obstructive Pulmonary Disease, Anesthesia Management
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APA Style
Wan, Y., Wang, X. (2024). Anesthetic Management of a Patient with Saber-Sheath Trachea. Cardiology and Cardiovascular Research, 8(3), 83-86. https://doi.org/10.11648/j.ccr.20240803.11
ACS Style
Wan, Y.; Wang, X. Anesthetic Management of a Patient with Saber-Sheath Trachea. Cardiol. Cardiovasc. Res. 2024, 8(3), 83-86. doi: 10.11648/j.ccr.20240803.11
AMA Style
Wan Y, Wang X. Anesthetic Management of a Patient with Saber-Sheath Trachea. Cardiol Cardiovasc Res. 2024;8(3):83-86. doi: 10.11648/j.ccr.20240803.11
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Download@article{10.11648/j.ccr.20240803.11,
author = {Ying Wan and Xin Wang},
title = {Anesthetic Management of a Patient with Saber-Sheath Trachea
},
journal = {Cardiology and Cardiovascular Research},
volume = {8},
number = {3},
pages = {83-86},
doi = {10.11648/j.ccr.20240803.11},
url = {https://doi.org/10.11648/j.ccr.20240803.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20240803.11},
abstract = {Saber-sheath trachea is a deformation of the trachea characterized by a tracheal index of less than 0.67, commonly found in patients with chronic obstructive pulmonary disease (COPD). This condition can lead to symptoms such as shortness of breath, coughing, and recurrent respiratory infections, which may necessitate surgical intervention. We present the case of a 72-year-old male with a left upper pulmonary lobe tumor scheduled for thoracoscopic lobectomy. The patient exhibited severe emphysema and had a tracheal index of 0.28, indicating a significantly narrowed intrathoracic trachea. Preoperative assessments revealed stable vital signs and low risk for perioperative complications, allowing for standard noninvasive monitoring during the procedure. Anesthesia was induced while maintaining spontaneous breathing using inhalation anesthetics. A left-sided double-lumen endotracheal tube was successfully placed for lung isolation. Throughout the surgery, airway pressures remained below 20 cm H2O, and the patient tolerated ventilation well. Following the procedure, fiberoptic bronchoscopy confirmed the absence of airway complications. The patient experienced a smooth recovery, was discharged after 6 days, and reported feeling well at the 3-month follow-up. This case underscores the importance of careful anesthetic management in patients with saber-sheath trachea undergoing thoracic surgery.
},
year = {2024}
}
TY - JOUR T1 - Anesthetic Management of a Patient with Saber-Sheath Trachea AU - Ying Wan AU - Xin Wang Y1 - 2024/08/20 PY - 2024 N1 - https://doi.org/10.11648/j.ccr.20240803.11 DO - 10.11648/j.ccr.20240803.11 T2 - Cardiology and Cardiovascular Research JF - Cardiology and Cardiovascular Research JO - Cardiology and Cardiovascular Research SP - 83 EP - 86 PB - Science Publishing Group SN - 2578-8914 UR - https://doi.org/10.11648/j.ccr.20240803.11 AB - Saber-sheath trachea is a deformation of the trachea characterized by a tracheal index of less than 0.67, commonly found in patients with chronic obstructive pulmonary disease (COPD). This condition can lead to symptoms such as shortness of breath, coughing, and recurrent respiratory infections, which may necessitate surgical intervention. We present the case of a 72-year-old male with a left upper pulmonary lobe tumor scheduled for thoracoscopic lobectomy. The patient exhibited severe emphysema and had a tracheal index of 0.28, indicating a significantly narrowed intrathoracic trachea. Preoperative assessments revealed stable vital signs and low risk for perioperative complications, allowing for standard noninvasive monitoring during the procedure. Anesthesia was induced while maintaining spontaneous breathing using inhalation anesthetics. A left-sided double-lumen endotracheal tube was successfully placed for lung isolation. Throughout the surgery, airway pressures remained below 20 cm H2O, and the patient tolerated ventilation well. Following the procedure, fiberoptic bronchoscopy confirmed the absence of airway complications. The patient experienced a smooth recovery, was discharged after 6 days, and reported feeling well at the 3-month follow-up. This case underscores the importance of careful anesthetic management in patients with saber-sheath trachea undergoing thoracic surgery. VL - 8 IS - 3 ER -
Department of Pathology, West China Hospital of Sichuan University, Chengdu, China
Department of Anesthesiology, West China Hospital of Sichuan University, Chengdu, China
