Anestesia para gastroplastia videolaparoscópica em paciente com obesidade mórbida com tubo t demontgomery

Larissa Manzan Alcântara Borges; Gustavo Siqueira Elmiro; Giulliano  Gardenghi

doi:10.63162/v66n67e25786

Authors

Larissa Manzan Alcântara Borges Centro de Ensino e Treinamento da Clínica de Anestesia (CET - CLIANEST), Goiânia/GO, Brasil Autor https://orcid.org/0009-0001-6623-2918
Gustavo Siqueira Elmiro Centro de Ensino e Treinamento da Clínica de Anestesia (CET - CLIANEST), Goiânia/GO, Brasil Autor https://orcid.org/0000-0003-2113-8757
Giulliano Gardenghi Centro de Ensino e Treinamento da Clínica de Anestesia (CET - CLIANEST), Goiânia/GO, Brasil ; Hospital ENCORE, Aparecida de Goiânia/GO, Brasil Autor https://orcid.org/0000-0002-8763-561X

DOI:

https://doi.org/10.63162/v66n67e25786

Keywords:

Obesity, Artificial respiration, Gastroplasty, Artificial intubation, Tracheal Stenosis

Abstract

The Montgomery T-tube (MTT) is a silicone device used as a tracheal stent combined with a tracheostomy tube
to prevent tracheal stenosis. The management of this device, the airways (AV) and mechanical ventilation (MV)
of patients with TTM pose challenges to the anesthesiologist due to their relatively low frequency. In addition to the particularities conferred by the tracheal prosthesis, the patient in question underwent videolaparoscopic gastroplasty, which results in changes in respiratory mechanics and mechanical ventilation. This occurs both due to the increase in body mass and abdominal pressure resulting from obesity, and due to the inflation of the pneumoperitoneum.

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