scholarly journals Anaesthesia for Tracheobronchial Stent Insertion Using an Laryngeal Mask Airway and High-Frequency Jet Ventilation

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Anne M. Dolan ◽  
Michael F. Moore

An approach which promotes a rapid return to spontaneous respiration after tracheobronchial stent (TBS) insertion is considered the optimal one and is a belief shared by anaesthetists, respiratory physicians, and surgeons alike (Calvey and William (2008)). The value of the laryngeal mask airway (LMA), followed by use of the Monsoon 111 Acutronic jet ventilator pressure limiting system of ventilation, for the deployment of stents in the three individual cases that of tracheoesophageal fistula, a bronchoesophageal fistula, and tracheal compression from an invading oesophageal malignant tumour are reported. The roles of target controlled anaesthesia, high-frequency jet ventilation (HFJV), and the laryngeal mask airway in optimising the surgical field and reducing the risk of bronchospasm at emergence are advantages of this technique.

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Nitish Fokeerah ◽  
Xinwei Liu ◽  
Yonggang Hao ◽  
Lihua Peng

Managing a patient scheduled for bronchoesophageal fistula repair is challenging for the anesthetist. If appropriate ventilation strategy is not employed, serious complications such as hypoxemia, gastric distension, and pulmonary aspiration can occur. We present the case of a 62-year-old man with a bronchoesophageal fistula in the left main stem bronchus requiring the insertion of a Y-shaped tracheobronchial stent through a rigid bronchoscope, under general anesthesia. We successfully managed this intervention and herein report this case to demonstrate the effectiveness of underwater seal gastrostomy tube drainage used in conjunction with high-frequency jet ventilation during bronchoesophageal fistula stenting.


1999 ◽  
Vol 83 (6) ◽  
pp. 940-942 ◽  
Author(s):  
G. Ihar ◽  
C. Hieber ◽  
C. Schaberning ◽  
P. Karincuk ◽  
S. Adel ◽  
...  

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