Masui. The Japanese journal of anesthesiology
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Few studies have examined the perioperative status of dual antiplatelet therapy and postoperative thrombotic or bleeding complication rates of patients undergoing non-cardiac surgery with recent history of coronary stent implantation. ⋯ In the present study, bleeding complications requiring transfusion were frequently observed in patients with dual antiplatelet therapy undergoing non-cardiac surgery, whereas perioperative therapy discontinuation did not trigger thrombotic complications including stent thrombosis.
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We report a case of successful tracheal intubation of a double-lumen tube with combined use of a videolaryngoscope (GlideScope) and a fiberoptic bronchoscope, in a patient with difficult airway, in whom intubation using the GlideScope had failed. A 71-year-old man with lung cancer was scheduled for the middle lobe lobectomy under general anesthesia. ⋯ While the GlideScope was in place to obtain a view near the glottis, a fiberoptic bronchoscope (passed through the double-lumen tube) was insertd into the trachea, and the tube was passed over the scope into the trachea. We believe that, when tracheal intubation of a double-lumen tube using a videolaryngoscope or fiberoptic bronchoscope is difficult, their combined use may be useful in a patient with difficult airway.