Anesthesia for Tracheal Resection and Reconstruction

Hobai, Ion A.; Chhangani, Sanjeev V.; Alfille, Paul H.

doi:10.1016/j.anclin.2012.08.012

Cited by 55 publications

(50 citation statements)

References 36 publications

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“…Two other extreme methods that could be considered beyond these techniques are extracorporeal gas exchange or tracheal resection under local anesthesia while the patient breathes spontaneously. [5][6][7] The standard approach to ventilation in our institution during all endolaryngeal minor surgery is to perform HFJV via a subglottic catheter. Based on this experience, we preferred HFJV in tracheal surgery especially during the posterior wall anastomosis of the resected tracheal ends to provide a spacious area for surgeons.…”

Section: Discussionmentioning

confidence: 99%

Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management

Altun¹

2017

Kulak Burun Bogaz Ihtis Derg

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Tracheal stenosis is an important clinical problem. Several treatment modalities are being used such as tracheal dilatation, laser surgery, surgical resection, and reconstruction. Surgery of the trachea is a special endeavor where the airway is shared by the surgeon and the anesthesiologist. In this article, we discussed the various methods of anesthesia and airway management in three cases who developed tracheal stenosis secondary to prolonged intubation in intensive care and were performed tracheal dilation, laser surgery, resection, and end-to-end anastomosis.

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Section: Discussionmentioning

confidence: 99%

Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management

Altun¹

2017

Kulak Burun Bogaz Ihtis Derg

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“…Inspiratory stridor appears at rest when the tracheal lumen is further reduced to 5-6mm. 9,10 The assessment of the degree of tracheal stenosis is an important step for each patient. Although several grading systems have been proposed, the universally accepted grading of tracheal stenosis was devised by Myer et al in 1994 (Table 1).…”

Section: Discussionmentioning

confidence: 99%

First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis

Elsayed

Mostafa

Soliman

et al. 2016

annals

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INTRODUCTION Tracheal stenosis following intubation is the most common indication for tracheal resection and reconstruction. Endoscopic dilation is almost always associated with recurrence. This study investigated first-line surgical resection and anastomosis performed in fit patients presenting with postintubation tracheal stenosis. METHODS Between February 2011 and November 2014, a prospective study was performed involving patients who underwent first-line tracheal resection and primary anastomosis after presenting with postintubation tracheal stenosis. RESULTS A total of 30 patients (20 male) were operated on. The median age was 23.5 years (range: 13-77 years). Seventeen patients (56.7%) had had previous endoscopic tracheal dilation, four (13.3%) had had tracheal stents inserted prior to surgery and one (3.3%) had undergone previous tracheal resection. Nineteen patients (63.3%) had had a tracheostomy. Eight patients (26.7%) had had no previous tracheal interventions. The median time of intubation in those developing tracheal stenosis was 20.5 days (range: 0-45 days). The median length of hospital stay was 10.5 days (range: 7-21 days). The success rate for anastomoses was 96.7% (29/30). One patient needed a permanent tracheostomy. The in-hospital mortality rate was 3.3%: 1 patient died from a chest infection 21 days after surgery. There was no mortality or morbidity in the group undergoing first-line surgery for de novo tracheal lesions. CONCLUSIONS First-line tracheal resection with primary anastomosis is a safe option for the treatment of tracheal stenosis following intubation and obviates the need for repeated dilations. Endoscopic dilation should be reserved for those patients with significant co-morbidities or as a temporary measure in non-equipped centres.

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“…Following reconstruction, the orotracheal tube or catheter is reinserted through the anastomosis. A detailed review of anesthetic technique exceeds the purpose of this discussion and is available elsewhere (22). Cardiopulmonary bypass is rarely needed but may be helpful during complex carinal reconstruction.…”

Section: Anesthetic Managementmentioning

confidence: 99%

Overview of malignant tracheal tumors

Madariaga

Gaissert

2018

Ann. Cardiothorac. Surg.

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Malignant airway tumors present particular challenges for surgeons, namely: to distinguish symptoms from those of the more frequent benign airway diseases; to separate metastatic disease from the uncommon primary tumors; and to consider curative resection in appropriate candidates. Here, we present a critical review of tracheal malignant obstruction, focusing on the evaluation of a patient with malignant airway tumor, patient selection for resection and the predictors of long-term survival. The new development in primary tracheal tumors is an old story, that of making physicians aware that resection rates in epidemiologic studies remain low, mainly because opportunities for resection are missed.

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Anesthesia for Tracheal Resection and Reconstruction

Cited by 55 publications

References 36 publications

Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management

Tracheal stenosis and reconstructive surgery: Our experience on anesthesia and airway management

First-line tracheal resection and primary anastomosis for postintubation tracheal stenosis

Overview of malignant tracheal tumors

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