Anaesthesia for tracheal resection. Modified use of the carden tube

Ismail, Ahmed

doi:10.1007/bf03013784

Canad. Anaesth. Soc. J.

1979

DOI: 10.1007/bf03013784

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Anaesthesia for tracheal resection. Modified use of the carden tube

Ahmed Ismail

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1988

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Cited by 3 publications

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References 12 publications

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“…Many techniques for the anaesthetic management of tracheal resection are described. These include spontaneous respiration with endotracheal intubation or laryngeal mask airway, endotracheal intubation and ventilation and cardiopulmonary bypass [1][2][3][4] . Whatever the technique, close cooperation between the surgeon and the anaesthetist is mandatory.…”

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confidence: 99%

Spontaneous Respiration via an Open Trachea for Resection of a High Tracheal Stenosis in a Child

2002

Anaesth Intensive Care

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The successful management of tracheal stenosis requires compromise between the competing interests of the surgical and anaesthetic teams and the resources available. A seven-year-old girl with marked tracheal stenosis was successfully managed spontaneously breathing via an open trachea and a laryngeal mask. Anaesthesia was maintained by propofol infusion. When the trachea was opened, supplemental oxygen was administered via a modified cholangiocatheter placed into the distal segment. At no point was the trachea intubated.

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Spontaneous Respiration via an Open Trachea for Resection of a High Tracheal Stenosis in a Child

2002

Anaesth Intensive Care

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Carinal resection with two high-frequency jet ventilation delivery systems

1993

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Case report A 76-yr-old man was admitted for investigation of progressive hoarseness and shortness of breath on moderate exertion. Laryngoscopy, bronchoscopy and mediastinoscopy revealed a squamous cell carcinoma of the right vocal cord as well as a squamous cell carcinoma of the carina adjacent to the origin of the left main bronchus. There was a history of cigarette smoking and exposure to coal and gold dust, as well as mild hypertension treated with enalapril 5 mg od. He had undergone abdominal aortic aneurysm repair one year previously.Physical examination was unremarkable. Blood pressure was 130/60 mmHg. Haemoglobin, electrolyte and creatinine concentrations, liver function tests, chest x-ray and ECG were all within normal limits. His preoperative arterial blood gas analysis breathing room air showed: pH 7.44; PCO2 5.06 kPa (38 mmHg); PO2 I0.8 kPa (81 mmHg); HCO3 26 mmol-L -I, 02 sat 96%. Pulmonary function tests revealed a mild to moderate airflow limitation with hyperinflation and also moderate impairment of lung diffusion.It was decided to resect the carinal tumour first, and subsequently to irradiate the laryngeal lesion. The patient was scheduled for excision and reconstruction of the carina through a right posterolateral thoracotomy. Conduct of anaesthesiaThe patient received premedication with glycopyrrolate 0.2 mg ira. Following placement of a lumbar epidural catheter for postoperative analgesia, general anaesthesia was induced with propofol 100 mg and tracheal intubation was facilitated with succinylcholine 120 mg. A #14 F Fogarty occlusion catheter, used as a bronchial blocker, was inserted into the right main bronchus followed by intubation of the trachea with a 9.0 mm endotracheal tube. The position of both was confumed by fibreoptic bronchoscopy.Initally, anaesthesia was maintained with oxygen 40%, N20, halothane, fentanyl 100 Isg and muscle relaxation

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Anesthetic management for tracheal resection and reconstruction

Young-Beyer

Wilson

1988

Journal of Cardiothoracic Anesthesia

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Anaesthesia for tracheal resection. Modified use of the carden tube

Cited by 3 publications

References 12 publications

Spontaneous Respiration via an Open Trachea for Resection of a High Tracheal Stenosis in a Child

Spontaneous Respiration via an Open Trachea for Resection of a High Tracheal Stenosis in a Child

Carinal resection with two high-frequency jet ventilation delivery systems

Anesthetic management for tracheal resection and reconstruction

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