Case Report
Copyright ©The Author(s) 2024.
World J Gastrointest Oncol. Feb 15, 2024; 16(2): 543-549
Published online Feb 15, 2024. doi: 10.4251/wjgo.v16.i2.543
Table 1 Case report timeline
Preoperative1Cough worsened and wheezing after exercise for more than 1 month
2No previous history of hypertension, diabetes, or coronary artery disease
3Enhanced CT of the chest and CT of the neck showed a rich blood supply occupying lesion in the esophageal travel area of the posterior superior mediastinum, considering an extraesophageal and intertracheal tumor lesion
4The surgery was performed under general anesthesia with static suction
Perioperative5After admission, the left upper extremity venous access was opened and BP, ECG, SpO2, and BIS were routinely monitored
6Invasive BP was monitored and arterial blood gas analysis was conducted
7Induction of conventional anesthesia; Maintenance of anesthesia was performed by static inhalation compound general anesthesia
8Airway tool of choice: Single-lumen tube with blocker. Single-lumen tube with blocker inserted under fibrinoscopic guidance
9During the free exploration of the tumor, the airway resistance increased abruptly, and emergency fibrinoscopy was performed. The operator adjusted the position of the tumor to restore airway patency and advanced the single-lumen tube under fibrinoscopic guidance to below the tumor
10Intraoperative, postoperative and before extubation, fibrinoscopy was used to detect an intact and uninjured airway
11After the operation, the vital signs were stable and there were no respiratory complications. He was returned to the ward
Postoperative12Vital signs were stable upon return to the room, with no respiratory complications
13The patient recovered well and was successfully discharged from the hospital
14At the two-month postoperative follow-up, the patient had no respiratory complications