Tracheal resection with regional anesthesia

Non-intubated tracheal surgery: is it worthwhile?

“…Lastly, spontaneous ventilation can be useful in the surgical management of segmental tracheomalacia, since it allows recognition of a dynamic obstruction of the trachea, as reported by Vachhani and colleagues (10).…”

“…Similarly to the report of Macchiarini, a cervical epidural catheter was placed for regional anesthesia, and the patient was able to talk during the procedure. The authors explain that in this case spontaneous ventilation was critical for precise identification of the tracheal lesion, characterized by the dynamic collapse with respiratory movements; furthermore, the maintenance of verbal communication with the patient aided in decreasing the risk of injury to recurrent laryngeal nerves during their dissection (10).…”

Anaesthesia for tracheal resection and anastomosis

“… Cervical epidural catheters : An epidural catheter placed at C7/T1 level using local anaesthetic like 0.5% ropivacaine for tracheal resection anastomosis has been described. [ 47 ] Additionally, it may require local infiltration along surgical planes, airway topicalization with local anaesthetic, and systemic analgesics. Patients breathe spontaneously during the procedure along with oxygen supplementation.…”