Airway management of patients with tracheobronchial stents

Davis, Neil; Madden, Brendan; Sheth, Abhijat; Crerar-Gilbert, A.

doi:10.1093/bja/aei267

Cited by 35 publications

(27 citation statements)

References 11 publications

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“…These complications include obstructive granulation tissue (GT) formation, stenosis at the ends of the stent, migration of the stent, mucous plugging, and stent fracture. [11][12][13][14] However, it is very difficult to remove or reposition CMS or UCMS in airway disorders when they are embedded in the bronchial mucosa and epithelialization of the inner surface has taken place. GT formation at either end of the stent or within the stent wall, if uncovered, is a relatively common inconvenience in both types of stents, possibly resulting from the radial force applied against the airway wall and the friction that is exerted.…”

mentioning

confidence: 99%

Endoscopic Removal of Metallic Airway Stents

Wang

Zhou

Yamaguchi

et al. 2011

Journal of Bronchology &Amp; Interventional Pulmonology

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mentioning

confidence: 99%

Endoscopic Removal of Metallic Airway Stents

Wang

Zhou

Yamaguchi

et al. 2011

Journal of Bronchology &Amp; Interventional Pulmonology

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“…At present, the application of the non-membrane coated metallic stent is somewhat controversial in malignant airway obstruction. Certain experts consider that, unlike a covered stent, non-membrane coated metallic stents are unable to hinder the overgrowth of granulation tissue, leading to difficulties with intubation or ventilation (11). However, others have reported (8) that tumors do not grow into the non-membrane coated metallic stent as easily as expected, as, unlike the uncoated stent, the covered stent does not compress the tumor.…”

Section: Discussionmentioning

confidence: 99%

Emergency management of a patient with severe airway obstruction resulting from poorly differentiated thyroid carcinoma: A case report

Yang

et al. 2012

Oncology Letters

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Abstract. We present a case of a life-threatening almost complete airway obstruction resulting from poorly differentiated thyroid carcinoma in a 48-year-old male. Airway obstruction may lead to unexpected mortality by suffocation and patients with poorly differentiated thyroid carcinoma usually have a fast deterioration and fatal outcome. In the case presented, we describe a safe and effective treatment strategy. Assisted by femoro-femoral cardiopulmonary bypass oxygenation, a tracheal stent was implanted successfully. Following surgery there were no complications, and chemoradiotherapy resulted in the relief of obstructing symptoms and improved the quality of life of the patient. This case indicates that femoro-femoral cardiopulmonary bypass provides adequate oxygen support to undergo further management and that tracheal stent implant is an effective emergent measure to relieve severe airway obstruction in patients with poorly differentiated thyroid carcinoma.

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“…High-frequency jet ventilation or low tidal volume using a Sanders injector is given to minimise additional airway injury and subcutaneous emphysema while the airway injury is inspected and defined (10)(11)(12)(13)16,17). While considering treatment strategies, the rigid bronchoscope is passed beyond the injury and a Bougie is deployed in the main bronchus.…”

Section: Diagnosismentioning

confidence: 99%

Evolutional trends in the management of tracheal and bronchial injuries

Madden

2017

J. Thorac. Dis.

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Tracheal and Bronchial injuries are potentially life threatening complications which require urgent diagnosis and therapeutic intervention. They typically occur in association with blunt and penetrating chest trauma although they are increasingly being encountered in patients following endobronchial intervention and percutaneous tracheostomy insertion. Their precise incidence is unknown. Presenting features include dyspnoea, stridor, respiratory and haemodynamic compromise, haemoptysis, surgical emphysema, pneumothorax and persistent significant airleak. There may be other additional injuries to consider in trauma patients with large airway injury. Familiarity with the diagnosis and management of large airway injuries is important for medical teams engaged in emergency medicine, thoracic surgery and medicine, anaesthesia and intensive care. Although early surgical intervention is the mainstay of treatment, endobronchial manoeuvres to seal defects are receiving increasing attention particularly for patients with medical co-morbidities which may contraindicate formal surgery or transfer or where local surgical expertise is not available.

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Airway management of patients with tracheobronchial stents

Cited by 35 publications

References 11 publications

Endoscopic Removal of Metallic Airway Stents

Endoscopic Removal of Metallic Airway Stents

Emergency management of a patient with severe airway obstruction resulting from poorly differentiated thyroid carcinoma: A case report

Evolutional trends in the management of tracheal and bronchial injuries

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