scholarly journals Airway management of a child after tracheal resection

1999 ◽  
Vol 46 (12) ◽  
pp. 1178-1180 ◽  
Author(s):  
Napoleon Burt ◽  
Mary M. Pruner ◽  
Andrea R. Williams
2021 ◽  
Vol 9 ◽  
pp. 2050313X2110145
Author(s):  
Chaerim Oh ◽  
Hyun Joo Kim

In patients with intratracheal tumors, airway management while maintaining oxygenation and providing surgical access to the airway can be challenging. Here, we present a case of a two-stage operation to remove an intratracheal tumor causing partial obstruction near the carina. In the otorhinolaryngology department, a biopsy was performed during apnea under high-flow nasal oxygenation support. A few days later, a thoracic surgeon performed tracheal resection after sternotomy under general anesthesia. Mechanical ventilation was performed by inserting a sterile endotracheal tube in the resected distal part of the trachea in the surgical field for tracheal end-to-end anastomosis. Airway was successfully secured through close communication between teams of anesthesiologists and surgeons.


2017 ◽  
Vol 21 (4) ◽  
pp. 360-363 ◽  
Author(s):  
Sang Kim ◽  
Maryna Khromava ◽  
Jeron Zerillo ◽  
George Silvay ◽  
Adam I. Levine

We present a case of a patient with complete tracheal dehiscence and multiple false passages after recent tracheal resection and anastomosis. Loss of tracheal continuity after disruption of anastomosis with distal stump retraction presents a unique anesthetic challenge given lack of access to the trachea and the need for adequate anesthesia and analgesia for surgical neck dissection. Traditional airway management, including awake fiberoptic intubation, intubation via direct laryngoscopy, needle cricothyrotomy, and awake tracheostomy are not viable options. Using total intravenous anesthesia with spontaneous ventilation, surgeons dissected the neck, retrieved the distal tracheal stump, repaired the trachea, and formalized the tracheostomy. We highlight the importance of recognizing the symptoms of a tracheal rupture, understanding the extreme limitation of securing the airway with traditional techniques, and discuss the alternative techniques including use of extracorporeal membrane oxygenation to avoid airway management. Awareness of increased mortality risk with tracheal reoperation and the significance of close communication between the anesthesiologists, the surgeons, and the patient is necessary for successful management.


2021 ◽  
Vol 10 (3) ◽  
pp. 3354-3363
Author(s):  
Xia Liu ◽  
Rong Jiang ◽  
Jie Xiao ◽  
Tao Lu ◽  
Jiaqi Gan ◽  
...  

1999 ◽  
Vol 89 (5) ◽  
pp. 1156???1160 ◽  
Author(s):  
Spyros D. Mentzelopoulos ◽  
Constantina N. Romana ◽  
Antonis G. Hatzimichalis ◽  
Maria J. Tzoufi ◽  
Evangelia A. Karamichali

2018 ◽  
Vol 126 (4) ◽  
pp. 1257-1261 ◽  
Author(s):  
Mark Schieren ◽  
Enikö Egyed ◽  
Burkhard Hartmann ◽  
Armen Aleksanyan ◽  
Erich Stoelben ◽  
...  

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